| NPI | 1730670951 |
|---|---|
| Doing Business As | HIGHLAND AVENUE PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | LEEA JEANINE WALTON Rcs Manager 704-316-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2023-07-12 |