| NPI | 1720019110 |
|---|---|
| Doing Business As | AA PRIMECARE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | CHAD DANIEL HOWARD Medical Director 704-333-5606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 200200125) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-01-04 |