NPI | 1619342706 |
---|---|
Doing Business As | CRESWELL PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | LASHUN HUNTLEY Interim, CEO 336-829-3198 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-12-01 |
Last Update Date | 2025-03-11 |