| NPI | 1881079093 |
|---|---|
| Doing Business As | MEDICAL GROUP OF THE CAROLINAS- FAMILY MEDICINE UNION- EASTSIDE |
| Entity Type | Organization |
| Authorized Contact | KENNETH MEINKE CFO 864-560-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-12-10 |