| NPI | 1811140494 |
|---|---|
| Doing Business As | BOLIVIA MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | EDWARD M MCKEITHAN Owner 910-253-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 105024) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2009-08-05 |