| NPI | 1013683093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C PRESSWOOD CFO 386-615-4237 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 208600000X Surgery | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-08-19 |