NPI | 1962001529 |
---|---|
Doing Business As | CARETEAM FCPS |
Entity Type | Organization |
Authorized Contact | MATTHEW THEODORE Director Of Operations 843-729-0316 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Enumeration Date | 2020-10-23 |
Last Update Date | 2020-10-23 |