Organization
MT OLIVE FAMILY MEDICINE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL DUNN DILDA (EXECUTIVE DIRECTOR)
(919) 581-4960
Entity
Organization
Contact information
Practice address
201 N BREAZEALE AVE, MOUNT OLIVE, NC 28365-1603
(919) 658-4954
(919) 658-5754
Mailing address
201 N BREAZEALE AVE, MOUNT OLIVE, NC 28365-1603
(919) 658-4954
(919) 658-5754
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/01/2006
Last updated
12/18/2012
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