NPI | 1679937783 |
---|---|
Doing Business As | LEWISBURG PEDIATRICS |
Entity Type | Organization |
Authorized Contact | CHARLES J BRINKLEY CFO 931-540-4212 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-04-06 |
Last Update Date | 2024-08-08 |