| NPI | 1215790761 |
|---|---|
| Doing Business As | USA HEALTH PROVIDENCE INFECTIOUS DISEASE TELEHEALTH |
| Entity Type | Organization |
| Authorized Contact | BENNY JOSEPH STOVER CFO 251-445-9164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-06 |