NPI | 1952814790 |
---|---|
Doing Business As | WEST MOBILE PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | ERICA MADISON Credentialing/Act Rep 251-318-2681 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2017-11-15 |
Last Update Date | 2021-04-08 |