| NPI | 1194007583 |
|---|---|
| Doing Business As | THE CLINIC AT WALMART BURLINGTON |
| Entity Type | Organization |
| Authorized Contact | KENNETH K BOGGS CFO / Treasurer 336-832-8005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-10-19 |