| NPI | 1659663706 |
|---|---|
| Doing Business As | EXCELA HEALTH MAIN STREET MEDICAL |
| Entity Type | Organization |
| Authorized Contact | RENEE M VARNEY Credentialing Coordinator 724-850-6933 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2019-02-11 |