NPI | 1518338698 |
---|---|
Doing Business As | VILLAGE FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | LISA Y GILMER Revenue Cycle Manager 864-941-8121 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-10-14 |
Last Update Date | 2015-10-14 |