NPI | 1104255934 |
---|---|
Doing Business As | CARECONNECT FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | LINDA YOUNG Secretary 229-273-8881 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-11-02 |
Last Update Date | 2020-01-03 |