| NPI | 1477938777 |
|---|---|
| Doing Business As | MEDICAL GROUP OF THE CAROLINAS - FAMILY MEDICINE - MOUNTAIN PARK VILLA |
| Entity Type | Organization |
| Authorized Contact | KENNETH MEINKE CFO 864-560-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2020-08-04 |