| 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 |