| NPI | 1679075352 |
|---|---|
| Doing Business As | CMC PRIMARY CARE SURFSIDE BEACH |
| Entity Type | Organization |
| Authorized Contact | BRET BARR CEO 843-347-8114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LF0000X Nurse Practitioner Family | |
| 363LG0600X Nurse Practitioner Gerontology | |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2021-10-25 |