NPI | 1427892728 |
---|---|
Doing Business As | CMC PRIMARY CARE GRANDE DUNES |
Entity Type | Organization |
Authorized Contact | MARY ELLEN ARTIOLI Credentialing Specialist 843-234-6946 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2024-06-21 |
Last Update Date | 2024-09-05 |