| NPI | 1659316743 |
|---|---|
| Doing Business As | NORTHEAST FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | DARRELL C COVEN Finance Director Of Business Dev. 803-296-7301 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-12-27 |