| NPI | 1053812875 |
|---|---|
| Doing Business As | NH BERMUDA RUN FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SHALA DAVIS Manger Rcs 704-316-7845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |