| NPI | 1538875463 |
|---|---|
| Former Legal Business Name | MDMEDICI |
| Entity Type | Organization |
| Authorized Contact | MBOH ELANGO Owner 678-736-5248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-02-14 |