| NPI | 1013757293 |
|---|---|
| Doing Business As | CCHS PRIMARY CARE PRACTICE PA |
| Entity Type | Organization |
| Authorized Contact | ROBERT W MCMURRAY CFO 302-623-7362 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-08-20 |