NPI | 1508811530 |
---|---|
Doing Business As | PARK ROAD MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | GEORGE L RAAD Owner 704-523-2565 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 27283) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2019-08-23 |