NPI | 1134777824 |
---|---|
Doing Business As | ACTIVATE HEALTHCARE - MCOE CLINIC |
Entity Type | Organization |
Authorized Contact | JILL JOHNSON PATTON Director Of Risk Management 704-936-5546 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
Enumeration Date | 2019-08-27 |
Last Update Date | 2022-07-28 |