Organization
DELCO HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY FITZGERALD (MANAGER)
(910) 442-1866
Entity
Organization
Contact information
Practice address
25478 ANDREW JACKSON HWY E, DELCO, NC 28436-9356
(910) 442-1866
Mailing address
PO BOX 15009, WILMINGTON, NC 28408-5009
(910) 442-1866
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890199Q
—
NC
Enumeration date
05/21/2008
Last updated
05/21/2008
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