NPI | 1477734424 |
---|---|
Doing Business As | FAMILY DOCTORS CLINIC OF MATHEWS |
Entity Type | Organization |
Authorized Contact | DAVID C KONUR Chief Executive Officer 985-876-0300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2007-11-19 |
Last Update Date | 2007-11-19 |