NPI | 1508818592 |
---|---|
Entity Type | Organization |
Authorized Contact | CONNIE SUE CRAWFORD Credentialing Manager 904-633-2021 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Enumeration Date | 2006-05-17 |
Last Update Date | 2008-08-06 |