| NPI | 1609694348 |
|---|---|
| Doing Business As | USA HEALTH COMMUNITY-SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BENNY JOSEPH STOVER CFO 251-445-9164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |