| NPI | 1538397120 |
|---|---|
| Doing Business As | COREWELL HEALTH MEDICAL GROUP SOUTH |
| Entity Type | Organization |
| Authorized Contact | WARREN WHITE V.P. Lakeland Physician Practices 269-983-8127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2023-12-17 |