| NPI | 1477279438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MCCALL Office Manager 346-477-4686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2023-01-24 |