NPI | 1134412117 |
---|---|
Doing Business As | WESLEY CHAPEL FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | DANIEL WIENS Senior Vice President 704-355-0648 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2011-05-24 |
Last Update Date | 2012-03-28 |