NPI | 1114373404 |
---|---|
Other Name | DPC WELLESLEY |
Entity Type | Organization |
Authorized Contact | ELIZABETH REYNOLDS LONG Divisional COO 919-668-6008 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2016-05-05 |
Last Update Date | 2023-09-11 |