NPI | 1548897689 |
---|---|
Doing Business As | PERENNIAL MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | WESLEY PAUL Owner 754-366-7735 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2020-03-26 |
Last Update Date | 2020-04-01 |