| NPI | 1043894504 |
|---|---|
| Doing Business As | TRIAD INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ASHLEY LONG Credentialing/Enrollment Specialist 984-333-2741 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2023-05-22 |