| NPI | 1912078353 |
|---|---|
| Doing Business As | FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | WALLACE R NELMS President 252-399-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2000001081876) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2015-06-30 |