Organization
JOHN D WALLACE ENTERPRISES
Active
Other names
FAMILY HEALTH CARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DAVID WALLACE (PRESIDENT)
(252) 514-0330
Entity
Organization
Contact information
Practice address
513 GEORGE ST, A, NEW BERN, NC 28560-4811
(252) 514-0330
Mailing address
513 GEORGE ST, A, NEW BERN, NC 28560-4811
(252) 514-0330
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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