| NPI | 1457946519 |
|---|---|
| Doing Business As | NHMGCR PENDER PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | SHALA DAVIS Rcs Manager 704-303-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-07-19 |