NPI | 1285616805 |
---|---|
Doing Business As | COLLOM AND CARNEY CLINIC |
Entity Type | Organization |
Authorized Contact | MARY E DWIGHT COO 903-614-3282 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2005-11-18 |
Last Update Date | 2024-08-22 |