NPI | 1255130704 |
---|---|
Other Name | ASCENSION SAINT AGNES MOBILE UNIT |
Entity Type | Organization |
Authorized Contact | WILLIAM B HIGGINGBOTHAM President/CEO 667-234-3162 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
207RG0300X Internal Medicine, Geriatric Medicine | |
Enumeration Date | 2025-03-10 |
Last Update Date | 2025-03-10 |