| NPI | 1588177315 |
|---|---|
| Doing Business As | MEDEXPRESS - RALPH LAUREN GREENSBORO, NC |
| Entity Type | Organization |
| Authorized Contact | BRETT GALL Director Payor Contracting 304-225-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |