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 |