| NPI | 1215948013 |
|---|---|
| Doing Business As | TRICOUNTY INDUSTRIAL MEDICINE SPECIALIST |
| Entity Type | Organization |
| Authorized Contact | EUSTACE ARNOLD JOHNSON Owner 334-260-8308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2012-04-24 |