NPI | 1316121775 |
---|---|
Doing Business As | SIGNATURE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | KIM HOLLON CEO 508-941-7004 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MA 3009) |
Enumeration Date | 2007-12-20 |
Last Update Date | 2012-05-23 |