| NPI | 1740873009 |
|---|---|
| Doing Business As | COMMONWEALTH FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIMETHA LEA BOYD Chief Financial Officer 276-935-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2021-03-10 |