NPI | 1447980883 |
---|---|
Doing Business As | FAMILY MEDICINE AT NORTHWOOD |
Entity Type | Organization |
Authorized Contact | LAKEISHA HARRIS Credentialing Manager 336-355-9701 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-06-16 |
Last Update Date | 2022-06-16 |