NPI | 1912639808 |
---|---|
Doing Business As | WADE FAMILY MEDICAL CENTER ADULT HEALTH |
Entity Type | Organization |
Authorized Contact | MELVA LEONOR JACKSON Program Support 910-483-6694 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Enumeration Date | 2022-06-29 |
Last Update Date | 2023-05-04 |