| Organization Name: | THE CASWELL FAMILY MEDICAL CENTER, INC. |
| NPI Number: | 1134201387 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHIRLEY DEAL (EXECUTIVE DIRECTOR) |
| Mailing Address: | 439 Us Hwy 158 West Yanceyville |
| State: | NC US |
| Postal Code: | 273791448 |
| Phone Number: | 3366949331 |
| Fax Number: | 3366947511 |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 11/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |