NPI | 1366913337 |
---|---|
Doing Business As | KINGS DAUGHTERS PORTSMOUTH INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | SARA MARKS CEO/President 606-408-4401 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2018-12-17 |
Last Update Date | 2023-06-16 |