| NPI | 1245744044 |
|---|---|
| Doing Business As | CENTRAL CAROLINA WELLCARE |
| Entity Type | Organization |
| Authorized Contact | SARA MILLER Director 615-920-7514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |