NPI | 1275608242 |
---|---|
Other Name | CMC - MERCY PRO FEES |
Entity Type | Organization |
Authorized Contact | GREG GOMBAR Administrator 704-355-2154 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2006-11-22 |
Last Update Date | 2011-04-19 |