NPI | 1548914773 |
---|---|
Doing Business As | NORTH CENTRAL FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | ERNEST BROWN Executive Director 803-325-7744 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-02-07 |
Last Update Date | 2024-01-09 |