| NPI | 1053065201 |
|---|---|
| Other Name | SMITH FAMILY WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEFANI PRISCILIA RUARTE Credentialing Coordinator 704-316-6573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-08-15 |