| NPI | 1407464084 |
|---|---|
| Former Legal Business Name | RAILYARD FAMILY MEDICINE LLC |
| Entity Type | Organization |
| Authorized Contact | UZOMA NDUKWE Physician/Co Owner 706-612-0424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2021-05-28 |