| NPI | 1437202645 |
|---|---|
| Doing Business As | CAPITAL REGIONAL HEALTHCARE IN SOUTHWOOD |
| Entity Type | Organization |
| Authorized Contact | MICKEY PICKLER VP 850-523-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2022-07-21 |