| NPI | 1225507890 |
|---|---|
| Former Legal Business Name | COLUMBIA FAMILY MEDICINE CLINIC L.L.C |
| Entity Type | Organization |
| Authorized Contact | TARA JONES Attending Physician 607-779-8698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2022-02-24 |