| NPI | 1578371860 |
|---|---|
| Doing Business As | TELEWELL DPC |
| Entity Type | Organization |
| Authorized Contact | TELICIA FISHER Owner/Operator 904-534-4279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2024-12-19 |