NPI | 1366565152 |
---|---|
Doing Business As | RIVER REGION FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | MICHAEL D BRUCE CEO 334-567-4311 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: AL 22736) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2012-10-01 |