# FAMILY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184749574
- **Authorized official:** RONNIE BRIAN OUTEN M.D. (PHYSICIAN)
- **Authorized official phone:** (704) 624-3790

## Contact information

- **Practice address:** 2820 BELK MILL RD, WINGATE, NC 28174-8764
- **Practice address phone:** (704) 624-3790
- **Practice address fax:** (704) 624-3578
- **Mailing address:** 303 WEST MAIN STREET, MARSHVILLE, NC 28103-0648
- **Mailing address phone:** (704) 624-3790
- **Mailing address fax:** (704) 624-3578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 9900973 | NC | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 06/24/2009