| NPI | 1619719325 |
|---|---|
| Doing Business As | PRIMARYPLUS MEDICAL SPECIALTIES & RESIDENCY |
| Entity Type | Organization |
| Authorized Contact | JERRY UGRIN CEO 606-796-3029 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |