# FDW FAMILY CARE CENTER, PLLC

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

## Provider details

- **NPI number:** 1982905832
- **Authorized official:** MS. JEVITA DENISE TERRY FNP-BC (OWNER)
- **Authorized official phone:** (252) 210-3457

## Contact information

- **Practice address:** 3068 SUNSET AVE, ROCKY MOUNT, NC 27804-3647
- **Practice address phone:** (252) 210-3457
- **Practice address fax:** (252) 210-3461
- **Mailing address:** 3068 SUNSET AVE, ROCKY MOUNT, NC 27804-3647
- **Mailing address phone:** (252) 210-3457
- **Mailing address fax:** (252) 210-3461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 120969 | NC | Yes |

## Other

- **Enumeration date:** 11/09/2010
- **Last updated:** 11/09/2010