NPI | 1477040483 |
---|---|
Doing Business As | PETERSVILLE FAMILY CARE |
Entity Type | Organization |
Authorized Contact | SUSAN DENISE MILLER Owner 256-275-7125 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 1-01128) |
Enumeration Date | 2018-04-16 |
Last Update Date | 2024-05-03 |