NPI | 1477615474 |
---|---|
Former Legal Business Name | MDFAMILY MEDICAL GROUP, INC. |
Entity Type | Organization |
Authorized Contact | WILLIAM MURPHY Credentialing/Finance Assistant 704-688-0324 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2006-12-15 |
Last Update Date | 2009-02-13 |