NPI | 1649345935 |
---|---|
Doing Business As | SHELBY FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | DANIEL L. WIENS Senior Vice President Of Operations 704-355-0648 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-11-21 |
Last Update Date | 2013-07-12 |