NPI | 1295105294 |
---|---|
Doing Business As | SCMG PULMONARY & SLEEP CLINIC |
Entity Type | Organization |
Authorized Contact | MARCIA T POLHEMUS Controller 401-788-1974 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
Additional Taxonomies | 207R00000X Internal Medicine |
207RC0200X Internal Medicine, Critical Care Medicine | |
207RS0012X Internal Medicine, Sleep Medicine | |
207Y00000X Otolaryngology | |
261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
Enumeration Date | 2015-10-02 |
Last Update Date | 2022-02-10 |