| NPI | 1093761835 |
|---|---|
| Former Legal Business Name | CHARLOTTE FAMILY HEALTH INC |
| Entity Type | Organization |
| Authorized Contact | ANDREA V.B. REGAN Md 802-425-2781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2017-07-07 |