NPI | 1548389125 |
---|---|
Doing Business As | KINTEGRA FAMILY MEDICINE - 3RD AVE |
Entity Type | Organization |
Authorized Contact | SHARMILA ALEXANDER ANDERSON Business Service Administrator 704-874-1907 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2020-07-28 |