| NPI | 1083383681 |
|---|---|
| Doing Business As | EVOQUE HEALTH |
| Doing Business As | CONCIERGE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MEGAN ANN TUCKER Owner 386-247-3141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 164W00000X Licensed Practical Nurse | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2022-07-28 |