| NPI | 1487140349 |
|---|---|
| Doing Business As | CORNAVACA CLINIC |
| Entity Type | Organization |
| Authorized Contact | SPRING CORNAVACA Business Administrator 470-892-6607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 74951) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 028490) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |