NPI | 1922767243 |
---|---|
Doing Business As | NHMGCR FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | SHALA DAVIS Rcs Manager 704-303-7517 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2021-12-14 |
Last Update Date | 2021-12-14 |