| NPI | 1336638865 |
|---|---|
| Doing Business As | CMG SOUTHSIDE PULMONOLOGY |
| Entity Type | Organization |
| Authorized Contact | JOSHUA LARKIN Payer Credentialing Manager 434-200-5047 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |