NPI | 1467190942 |
---|---|
Doing Business As | TRINITY PRIMARY CARE OF MADISON |
Entity Type | Organization |
Authorized Contact | KRISTA CHASE Credentialing Specialist 256-767-7494 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2022-05-24 |
Last Update Date | 2022-05-24 |