| NPI | 1629748926 |
|---|---|
| Other Name | SHMG PRIMARY CARE AT NORTHSIDE |
| Entity Type | Organization |
| Authorized Contact | JEAN VALLIER Director 850-804-3210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-09-17 |