| NPI | 1003558461 |
|---|---|
| Doing Business As | KERNERSVILLE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | ASHLEY RENEE LONG Practice Implementation Manager 984-333-2741 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2022-04-07 |