NPI | 1619001906 |
---|---|
Doing Business As | DEPAUL MEDICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | WILBUR GAY CFO 864-561-7672 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2007-03-16 |
Last Update Date | 2020-09-22 |