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Organization
MT OLIVE FAMILY MEDICINE CENTER INC
Active
Organization
MT OLIVE FAMILY MEDICINE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL DUNN DILDA (EXECUTIVE DIRECTOR)
(919) 581-4960
Entity
Organization
Contact information
Practice address
201 N BREAZEALE AVE, MOUNT OLIVE, NC 28365-1603
(919) 658-4954
(919) 658-5754
Mailing address
201 N BREAZEALE AVE, MOUNT OLIVE, NC 28365-1603
(919) 658-4954
(919) 658-5754
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/01/2006
Last updated
12/18/2012
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