FDW FAMILY CARE CENTER PLLC NPI 1982905832

NPI Information

NPI: 1982905832
Provider Name: FDW FAMILY CARE CENTER, PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3068 SUNSET AVE
ROCKY MOUNT, NC
ZIP 27804
Phone: (252) 210-3457
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FDW FAMILY CARE CENTER, PLLC is a primary care clinic center in Rocky Mount, NC. FDW FAMILY CARE CENTER, PLLC NPI is 1982905832. The provider is registered as an organization entity type.

The provider's business location address is:

3068 SUNSET AVE
ROCKY MOUNT, NC
ZIP 27804-647
Phone: (252) 210-3457
Fax: (252) 210-3461

The provider's authorized official is Jevita Denise Terry .
The authorized official title is Owner and has the following contact phone number (252) 210-3457.

The enumeration date for this NPI number is 11/9/2010 and was last updated on 11/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	120969	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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