| NPI | 1972666246 |
|---|---|
| Doing Business As | FAMILY PRACTICE OF EDEN |
| Entity Type | Organization |
| Authorized Contact | AMANDA J CURRIN VP 336-623-9711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |