NPI | 1316651433 |
---|---|
Doing Business As | KERNODLE CLINIC ELON |
Entity Type | Organization |
Authorized Contact | JOHN STUART SMITH VP Finance 919-620-4855 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
208000000X Pediatrics | |
Enumeration Date | 2023-01-12 |
Last Update Date | 2023-09-12 |