| NPI | 1083462741 |
|---|---|
| Former Legal Business Name | GD MOBILE PHYSICAL EXAMS, LLC |
| Entity Type | Organization |
| Authorized Contact | GENEAN MARIE DOYLE Family Nurse Practitioner 856-982-9502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |