NPI | 1497184592 |
---|---|
Other Name | PROVIDENCE TILLMANS CORNER OCC MED |
Entity Type | Organization |
Authorized Contact | JAMES L. WALKER President 251-633-8880 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
Enumeration Date | 2013-11-08 |
Last Update Date | 2013-11-08 |