NPI | 1467600379 |
---|---|
Former Legal Business Name | WINECOFF FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | SHARON PENNINGER Practice Manager 704-262-7901 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2008-09-04 |
Last Update Date | 2013-09-06 |