| NPI | 1588618151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRIC TERRIELL BARNES Owner 302-424-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE 2002104707) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |