| NPI | 1336624071 |
|---|---|
| Doing Business As | CCHS VIRTUAL PRACTICE |
| 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 | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2018-09-28 |