NPI | 1861769119 |
---|---|
Doing Business As | PRIMARY CARE ASSOCIATES OF LAKE NORMAN |
Entity Type | Organization |
Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2011-11-30 |
Last Update Date | 2022-01-14 |