Mt. Olive Family Medicine Center

NPI #1639491038 in Mount Olive, North Carolina

Provider Information

NPI Number
1639491038
Entity Type
Organization
Organization Name
Mt. Olive Family Medicine Center
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Feb 26, 2010
Last Updated
Oct 23, 2012

Practice Location

Address
201 N BREAZEALE AVE
ZIP Code
28365-1603
Phone
(919) 658-4954

Authorized Official

Name
KENNY HEINE
Title
SR. DIRECTOR OF OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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