Organization
FDW FAMILY CARE CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEVITA DENISE TERRY FNP-BC (OWNER)
(252) 210-3457
Entity
Organization
Contact information
Practice address
3068 SUNSET AVE, ROCKY MOUNT, NC 27804-3647
(252) 210-3457
(252) 210-3461
Mailing address
3068 SUNSET AVE, ROCKY MOUNT, NC 27804-3647
(252) 210-3457
(252) 210-3461
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
120969
NC
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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