# MT OLIVE FAMILY MEDICINE CENTER INC

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

## Provider details

- **NPI number:** 1467481762
- **Authorized official:** CAROL DUNN DILDA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (919) 581-4960

## Contact information

- **Practice address:** 201 N BREAZEALE AVE, MOUNT OLIVE, NC 28365-1603
- **Practice address phone:** (919) 658-4954
- **Practice address fax:** (919) 658-5754
- **Mailing address:** 201 N BREAZEALE AVE, MOUNT OLIVE, NC 28365-1603
- **Mailing address phone:** (919) 658-4954
- **Mailing address fax:** (919) 658-5754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 12/18/2012