NPI | 1932334869 |
---|---|
Doing Business As | WALLACE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | LYNN T LANIER VP Of Finance And Operations 252-847-0848 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2009-05-21 |
Last Update Date | 2009-05-21 |