| NPI | 1053360180 |
|---|---|
| Doing Business As | STATESVILLE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | CARLA JOHNSON Director Of Operations 704-873-5661 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2024-10-01 |