NPI | 1619594785 |
---|---|
Doing Business As | KINGS DAUGHTERS MEDICAL CENTER RUSSELL URGENT CARE CENTER |
Entity Type | Organization |
Authorized Contact | SARA MARKS CEO 606-408-4401 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2020-07-06 |
Last Update Date | 2023-06-16 |