NPI | 1891352514 |
---|---|
Doing Business As | NORTHSTAR PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | JAMES TIMOTHY WILSON CEO 901-751-0939 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-05-29 |
Last Update Date | 2019-07-12 |