| NPI | 1598869844 |
|---|---|
| Former Legal Business Name | MEMORIAL FAMILY PRACTICE ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | ROBERT A FAILE Vice President 843-956-7923 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME0010521) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2023-04-10 |