NPI | 1265687818 |
---|---|
Doing Business As | BEAUREGARD CLINIC |
Entity Type | Organization |
Authorized Contact | MARTIN ROACH Owner/Md 334-737-5557 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: AL DO866) |
Enumeration Date | 2008-11-24 |
Last Update Date | 2023-11-15 |