| NPI | 1689445520 |
|---|---|
| Doing Business As | CAPE FEAR VALLEY LEGACY PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH B FISER VP Managed Care And Revenue Cycle 910-615-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |