NPI | 1295317154 |
---|---|
Entity Type | Organization |
Authorized Contact | EARLYCE ROBINSON Owner 229-319-8267 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Additional Taxonomies | 208D00000X General Practice |
Enumeration Date | 2021-04-21 |
Last Update Date | 2021-05-10 |