| NPI | 1275846263 |
|---|---|
| Doing Business As | SCREAMING EAGLE MEDICAL HOME-CAMPB |
| Entity Type | Organization |
| Authorized Contact | LIZA J O'NEAL C, Pad 270-798-8491 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center Military/U.S. Coast Guard Outpatient |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2013-01-03 |