NPI | 1952061517 |
---|---|
Doing Business As | COMMWELL HEALTH -NEWTON GROVE/SPIVEY'S CORNER MEDICAL |
Entity Type | Organization |
Authorized Contact | WILLIAM C ELLISON Revenue Cycle Manager 910-567-7065 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-12-23 |
Last Update Date | 2024-03-27 |