| NPI | 1043557333 |
|---|---|
| Doing Business As | SOUTH ISLAND PRIMARY AND IMMEDIATE CARE |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JOHNSON Practice Manager 360-331-3343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2024-06-12 |