NPI | 1326067703 |
---|---|
Doing Business As | MONTGOMERY CENTER FOR FAMILY MEDICINE OF SRH |
Entity Type | Organization |
Authorized Contact | MATTHEW T LOGAN President & CEO 864-725-4253 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 038) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2021-12-14 |