NPI | 1316652837 |
---|---|
Doing Business As | IMC OF COVINGTON |
Entity Type | Organization |
Authorized Contact | OLIVIA MCDONALD Np/Owner 318-884-3840 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2023-01-18 |
Last Update Date | 2023-01-18 |