NPI | 1477038453 |
---|---|
Doing Business As | KINGS DAUGHTERS MEDICAL CENTER SPINE AND PAIN CENTER |
Entity Type | Organization |
Authorized Contact | SARA MARKS CEO/President 606-408-4401 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2018-09-26 |
Last Update Date | 2023-06-16 |