| NPI | 1518994805 |
|---|---|
| Doing Business As | NANSEMOND SUFFOLK FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | WILBUR GAY CFO 864-561-7672 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-09-24 |