Organization
FAMILY MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY SMITH (BUSINESS OFFICE)
(919) 570-8555
Entity
Organization
Contact information
Practice address
310 S MAIN ST, ROLESVILLE, NC 27571-9661
(919) 570-8555
Mailing address
310 S MAIN ST, ROLESVILLE, NC 27571-9661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
124415
NC
Other
Enumeration date
05/25/2006
Last updated
08/22/2020
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