NPI | 1376574004 |
---|---|
Doing Business As | DBA PALLADIUM PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | GEORGE OSEI-BONSU Corporate Officer 336-841-8500 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2002-01294) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2009-02-18 |