Organization Name: | FUQUAY URGENT CARE & FAMILY CLINIC INC. |
NPI Number: | 1336235225 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATRINA A. CATTO (VP OF PRACTICE SERVICES) |
Mailing Address: | 1418 N. Main St. Fuquay-varina |
State: | NC US |
Postal Code: | 275268901 |
Phone Number: | 9195521733 |
Fax Number: | 9195521495 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 01/24/2011 |
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: |