| NPI | 1063877603 |
|---|---|
| Doing Business As | CCHS CONCORD - SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ROBERT W MCMURRAY CFO 302-428-2522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2021-12-13 |