NPI | 1063553733 |
---|---|
Former Legal Business Name | L ONEAL SUTTER FAMILY PRACTICE CLINIC, INC. |
Former Legal Business Name | SUTTER FAMILY PRACTICE, INC. |
Entity Type | Organization |
Authorized Contact | PATRICIA DIANNE STEVENSON Manager 706-695-0466 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-02-08 |
Last Update Date | 2025-04-23 |