| NPI | 1073219242 |
|---|---|
| Other Name | VILLAGE MEDICAL - SOUTH COLLEGE |
| Entity Type | Organization |
| Authorized Contact | KRISTI I LEE Senior Director Revenue Cycle 844-969-0686 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-12-28 |