NPI | 1174921696 |
---|---|
Doing Business As | SHANDS MEDICAL GROUP OF LIVE OAK-RHC |
Entity Type | Organization |
Authorized Contact | JAMES P WRIGHT Sr. Director 615-465-7587 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2014-12-16 |
Last Update Date | 2014-12-16 |