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Organization
WAYNE HEALTH FAMILY MEDICINE LLC
Active
Organization
WAYNE HEALTH FAMILY MEDICINE LLC
Active
Parent organization
WAYNE HEALTH PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAYNE HEALTH PHYSICIANS
Authorized official
MR. CLYDE LOUIS THOMAS II (EXECUTIVE DIRECTOR)
(919) 587-4081
Entity
Organization
Contact information
Practice address
210 N HERMAN ST, GOLDSBORO, NC 27530-3810
(919) 587-4081
(919) 587-0775
Mailing address
PO BOX 1717, GOLDSBORO, NC 27533-1717
(919) 587-4081
(919) 587-0775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/12/2013
Last updated
08/30/2016
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