NPI | 1366047748 |
---|---|
Doing Business As | TIGHT LINES FAMILY MEDICINE P.A. |
Entity Type | Organization |
Authorized Contact | MAX BRANDON LUDLUM Owner/Operator 910-538-9581 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-12-02 |
Last Update Date | 2023-12-06 |