| NPI | 1497491542 |
|---|---|
| Other Name | SOUTH COAST LUMBER |
| Entity Type | Organization |
| Authorized Contact | TERRY LAYMAN Cmo 802-857-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-11 |