| NPI | 1316570575 |
|---|---|
| Doing Business As | CCHS PRIMARY CARE MD |
| Entity Type | Organization |
| Authorized Contact | PATRICIA D WATSON Corporate Director Of PFS 302-623-7168 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |