| NPI | 1568359941 |
|---|---|
| Former Legal Business Name | SPECIALTY FAMILY MEDICINE INC. |
| Entity Type | Organization |
| Authorized Contact | AYOKUNLE FATADE CEO 276-252-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2025-06-19 |