NPI | 1972050979 |
---|---|
Doing Business As | TAPM FAMILY MEDICINE AT BRENTWOOD |
Entity Type | Organization |
Authorized Contact | MICHELLE ANITA LEWIS CEO 336-355-9715 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-09-07 |
Last Update Date | 2016-09-07 |