| NPI | 1124956990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRIEN CARR-DIXON Director Of Business Dev. 346-399-0258 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2026-05-12 |
| Last Update Date | 2026-05-12 |