NPI | 1538604509 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULA BOSWELL Billing Manager 251-943-9954 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME80025) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 10642) |
Enumeration Date | 2016-12-30 |
Last Update Date | 2016-12-30 |