| NPI | 1073842290 |
|---|---|
| Doing Business As | PAGELAND FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DANIEL L WIENS Administrator 704-355-0648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2015-03-25 |