NPI | 1932521630 |
---|---|
Former Legal Business Name | SHILOH MEDICALS |
Entity Type | Organization |
Authorized Contact | ANTHONIA OGECHI EMEZIE President 704-321-5700 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 200301456) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NC 200301456) |
Enumeration Date | 2014-01-14 |
Last Update Date | 2015-01-26 |