| NPI | 1972236297 |
|---|---|
| Doing Business As | CMC PRIMARY CARE PRINCE CREEK |
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN ARTIOLI Credentialing Specialist 843-234-6946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2023-12-29 |