| NPI | 1093005159 |
|---|---|
| Doing Business As | ADULT PRIMARY AND PREVENTIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | RANDALL L KELLEY President/CEO 704-671-5343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2019-08-05 |