| NPI | 1720252026 |
|---|---|
| Former Legal Business Name | BRUCE G FAWCETT DPM |
| Entity Type | Organization |
| Authorized Contact | BRUCE G FAWCETT Sole Owner 919-829-0076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NC 154) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2016-11-04 |