| NPI | 1629651955 |
|---|---|
| Doing Business As | WOODSIDE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | JIM CARMICAL Practitioner 870-224-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2024-04-30 |