NPI | 1003300815 |
---|---|
Doing Business As | ACUTE CARE FAMILY MEDICAL CLINIC OF VERONA |
Entity Type | Organization |
Authorized Contact | RODNEY BRIAN RODGERS Owner/Nurse Practitioner 662-350-3550 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS r853214) |
Enumeration Date | 2018-06-15 |
Last Update Date | 2020-09-08 |