| NPI | 1053592295 |
|---|---|
| Doing Business As | MCH PRIMARY CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES WESLEY NALL CEO 251-743-7430 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2018-07-17 |