| Fdw Family Care Center, Pllc | |
|
3068 Sunset Ave Rocky Mount NC 27804-3647 | |
| (252) 210-3457 | |
| (252) 210-3461 |
| Full Name | Fdw Family Care Center, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3068 Sunset Ave, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Jevita Denise Terry (OWNER) |
| Authorized Official Contact | 2522103457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fdw Family Care Center, Pllc 3068 Sunset Ave Rocky Mount NC 27804-3647 Ph: (252) 210-3457 | Fdw Family Care Center, Pllc 3068 Sunset Ave Rocky Mount NC 27804-3647 Ph: (252) 210-3457 |
| NPI Number | 1982905832 |
|---|---|
| Provider Enumeration Date | 11/09/2010 |
| Last Update Date | 11/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982905832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 120969 (North Carolina) | Primary |
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