NPI | 1508632035 |
---|---|
Doing Business As | KINTEGRA AT CLOVER GARDEN |
Entity Type | Organization |
Authorized Contact | SHARMILA ALEXANDER ANDERSON Revenue Cycle Manager 704-874-1907 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-11-27 |
Last Update Date | 2023-11-27 |