| NPI | 1952626384 |
|---|---|
| Doing Business As | TABLE ROCK FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | PATRICIA MOLL Authorized Official 910-671-5472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2023-01-17 |