NPI | 1003874918 |
---|---|
Former Legal Business Name | UNIONVILLE CLINIC |
Entity Type | Organization |
Authorized Contact | HARVEY ARCHIBALD JONES Md 478-743-1883 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA GA25990) |
Enumeration Date | 2006-05-02 |
Last Update Date | 2020-08-22 |