NPI | 1255096012 |
---|---|
Doing Business As | VIRTUAL HEALTH CENTER MOUNTAIN |
Entity Type | Organization |
Authorized Contact | JILL JOHNSON PATTON Director Of Risk Management 704-936-5546 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-11-05 |
Last Update Date | 2022-10-19 |