NPI | 1396086062 |
---|---|
Doing Business As | MEMORIAL URGENT CARE |
Entity Type | Organization |
Authorized Contact | ROBIN J. MADDOX Provider Enrollment Coordinator 912-350-9335 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
208D00000X General Practice | |
363A00000X Physician Assistant | |
Enumeration Date | 2013-03-06 |
Last Update Date | 2014-05-13 |