| NPI | 1639918964 |
|---|---|
| Doing Business As | CCHS SPORTS MEDICINE PRACTICE PA |
| Entity Type | Organization |
| Authorized Contact | ROBERT W MCMURRAY CFO 302-623-7362 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 2080S0010X Pediatrics, Sports Medicine |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-08-20 |