NPI | 1629802921 |
---|---|
Doing Business As | ROCKVILLE INTERNAL MEDICINE GROUP |
Entity Type | Organization |
Authorized Contact | BARBARA WREN Manager, Payer Enrollment 843-718-7321 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2024-08-28 |
Last Update Date | 2024-08-28 |