NPI | 1770615114 |
---|---|
Former Legal Business Name | EXPRESSMED MEDICAL CLINICS, PLLC |
Entity Type | Organization |
Authorized Contact | DANIEL PETER SEWARD Member/Manager 704-688-9650 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2007-03-12 |
Last Update Date | 2023-03-10 |