| NPI | 1710237367 |
|---|---|
| Doing Business As | KINTEGRA PEDIATRIC MEDICINE - STATESVILLE |
| Entity Type | Organization |
| Authorized Contact | SHARMILA ANDERSON Business Service Administrator 704-874-1907 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2021-05-07 |