| NPI | 1518174820 |
|---|---|
| Doing Business As | MALLARD CREEK FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM GEORGE KATIBAH Owner 704-547-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-02-22 |