| 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 |