NPI | 1548893530 |
---|---|
Doing Business As | GATEWAY DIRECT PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | JILL JOHNSON PATTON Director Of Risk Management 704-936-5546 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-02-18 |
Last Update Date | 2022-07-28 |