NPI | 1952546426 |
---|---|
Other Name | MIDDLE TYGER FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | DEBBIE BREWER Director Provider Enrollment 864-253-8080 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2008-12-11 |
Last Update Date | 2008-12-11 |