NPI | 1902370646 |
---|---|
Doing Business As | CCHS PRIMARY CARE PA |
Entity Type | Organization |
Authorized Contact | PATICIA D WATSON Corporate Director Of PFS 302-623-7168 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-01-16 |
Last Update Date | 2019-01-16 |