| NPI | 1558872432 |
|---|---|
| Doing Business As | VILLAGE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | KRISTI I LEE Senior Director 706-513-4897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 79130) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 79130) |
| 225100000X Physical Therapist (Licence: GA 79130) | |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2021-05-26 |