NPI | 1770660847 |
---|---|
Doing Business As | NEW LONDON FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | KAREN L HAYNES Staff Credentialing Manager 434-382-1139 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-11-01 |
Last Update Date | 2014-05-16 |