NPI | 1821335068 |
---|---|
Doing Business As | CPG FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | MARY ELLEN ARTIOLI Credentialing Specialist 843-234-6946 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine |
363AM0700X Physician Assistant, Medical | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2013-01-08 |
Last Update Date | 2023-12-28 |