NPI | 1023796307 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE HALL Owner 855-743-2247 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2023-07-07 |
Last Update Date | 2024-09-30 |