| NPI | 1861851446 |
|---|---|
| Doing Business As | MEDICAL GROUP OF THE CAROLINAS- IMMEDIATE CARE CENTER-PELHAM |
| Entity Type | Organization |
| Authorized Contact | KENNETH MEINKE Chief Financial Officer 864-560-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-04-12 |