NPI | 1194408922 |
---|---|
Other Name | BEAUREGARD FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | KATHERINE GAMPER Family Nurse Practitioner 334-707-7174 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2023-08-09 |
Last Update Date | 2023-11-07 |