NPI | 1770822751 |
---|---|
Doing Business As | DOCTORS CARE FOREST ACRES |
Entity Type | Organization |
Authorized Contact | THOMAS E GIBBONS Chief Medical Officer 803-782-4278 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207P00000X Emergency Medicine |
208D00000X General Practice | |
Enumeration Date | 2013-02-11 |
Last Update Date | 2013-02-11 |