NPI | 1801391735 |
---|---|
Doing Business As | DOCTORS CARE PARKRIDGE |
Entity Type | Organization |
Authorized Contact | SHELLEY JANSSEN Chief Medical Officer 803-758-4258 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207P00000X Emergency Medicine |
208D00000X General Practice | |
Enumeration Date | 2018-03-23 |
Last Update Date | 2020-09-09 |