| NPI | 1528099421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN H BATTLE President 823-369-4257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 26427) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 9500793) |
| 207Q00000X Family Medicine (Licence: NC 9600013) | |
| 207R00000X Internal Medicine (Licence: NC 31283) | |
| 363A00000X Physician Assistant (Licence: NC 100249) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |