NPI | 1194507632 |
---|---|
Doing Business As | PERSONALIZED PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | KEITH T CHUMLEY Owner 424-250-9979 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2023-10-19 |
Last Update Date | 2024-01-22 |