NPI | 1578897716 |
---|---|
Entity Type | Organization |
Authorized Contact | JANET HOFFMAN Owner/President 251-970-5342 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 22341) |
Additional Taxonomies | 173000000X Legal Medicine |
Enumeration Date | 2009-09-21 |
Last Update Date | 2014-12-10 |