NPI | 1265155774 |
---|---|
Doing Business As | AVITACARE |
Entity Type | Organization |
Authorized Contact | ASHLEY ELLIS Corporate Counsel 704-641-7967 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
Additional Taxonomies | 207Q00000X Family Medicine |
291U00000X Clinical Medical Laboratory | |
Enumeration Date | 2022-09-20 |
Last Update Date | 2022-09-20 |