| NPI | 1780147108 |
|---|---|
| Doing Business As | LEGACY HEALTH |
| Entity Type | Organization |
| Authorized Contact | BRIAN JERBY Lead Physician 980-339-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |