| NPI | 1194078055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SHARP Vice President Revenue Cycle 567-585-7576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2026-06-23 |