NPI | 1841526712 |
---|---|
Doing Business As | SHELBY FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | DANIEL L. WIENS Senior Vice President 704-355-0648 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2009-10-27 |
Last Update Date | 2013-06-18 |