NPI | 1376078139 |
---|---|
Other Name | MCKEE HEALTH CLINIC COLLEGDALE |
Entity Type | Organization |
Authorized Contact | JANICE RENNER Provider 877-286-9799 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 202) |
Enumeration Date | 2017-04-28 |
Last Update Date | 2017-04-28 |