NPI | 1447823877 |
---|---|
Doing Business As | ENTERPRISE PEDIATRIC CLINIC |
Entity Type | Organization |
Authorized Contact | GINA TOLAR Insurance & Collections Supervisor 334-793-1881 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2021-07-22 |
Last Update Date | 2021-07-22 |