NPI | 1225188972 |
---|---|
Doing Business As | INTERNAL MEDICINE CLINIC |
Entity Type | Organization |
Authorized Contact | CARLTON A LUE Owner 229-424-7331 |
Organization Subpart ? | No |
Primary Taxonomy | 173000000X Legal Medicine (Licence: GA 042340) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2020-08-22 |