| NPI | 1184014565 |
|---|---|
| Doing Business As | MEDICAL CLINIC AT PEACH |
| Entity Type | Organization |
| Authorized Contact | MATTHEW RICHARDSON Chief Financial Officer 805-739-3108 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2018-11-12 |