NPI | 1598271306 |
---|---|
Doing Business As | RENAISSANCE FAMILY MEDICINE CENTER |
Entity Type | Organization |
Authorized Contact | KIELI ASHTON FORBES Credentialing Specialist 336-663-5220 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2017-12-18 |
Last Update Date | 2017-12-18 |