| NPI | 1790234144 |
|---|---|
| Doing Business As | FIRSTHEALTH FAMILY MEDICINE - FAYETTEVILLE |
| Entity Type | Organization |
| Authorized Contact | LYNN DEJACO CFO 910-715-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-10-05 |