NPI | 1609057629 |
---|---|
Doing Business As | SOUTH POINT FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | DOUGLAS LUCKETT President, CEO 704-834-2133 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-11-19 |
Last Update Date | 2015-06-10 |