NPI | 1205967460 |
---|---|
Other Name | MCM PEDIATRIC AND ADOLESCENT HOME PRACTICE, P.A. |
Entity Type | Organization |
Authorized Contact | MOHAMED MERGHANI Md 910-997-7180 |
Organization Subpart ? | No |
Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: NC 2005-01870) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2015-04-15 |