| NPI | 1477079283 |
|---|---|
| Doing Business As | KINTEGRA ADULT & PEDIATRIC MEDICINE - XRAY DR |
| Entity Type | Organization |
| Authorized Contact | SHARMILA ALEXANDER ANDERSON Business Services Administrator 704-874-1907 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 13352) | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2020-01-15 |