NPI | 1922376029 |
---|---|
Doing Business As | MCCOLL FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | MATTHEW D PRACHT CFO 910-291-7920 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2011-12-05 |
Last Update Date | 2021-07-27 |