| Wayne Health Family Medicine Llc | |
|
210 N Herman St Goldsboro NC 27530-3810 | |
| (919) 587-4081 | |
| (919) 587-0775 |
| Full Name | Wayne Health Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 210 N Herman St, Goldsboro, North Carolina |
| Authorized Official Name and Position | Clyde Louis Thomas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9195874081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Health Family Medicine Llc Po Box 1717 Goldsboro NC 27533-1717 Ph: (919) 587-4081 | Wayne Health Family Medicine Llc 210 N Herman St Goldsboro NC 27530-3810 Ph: (919) 587-4081 |
| NPI Number | 1386075612 |
|---|---|
| Provider Enumeration Date | 12/12/2013 |
| Last Update Date | 08/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386075612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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