| NPI | 1285128462 |
|---|---|
| Doing Business As | GREENVILLE MICHELIN FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | BRETT GALL Director Payor Contracting 304-225-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-07-02 |