| NPI | 1144902974 |
|---|---|
| Doing Business As | MOBILE PRIMARY CARE AND WOUND CARE SERVICDS |
| Entity Type | Organization |
| Authorized Contact | NORRIS C POLK CEO/President 833-239-6412 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-09-29 |