NPI | 1649744897 |
---|---|
Doing Business As | SOUTHERN FLARE URGENT CARE CENTER |
Entity Type | Organization |
Authorized Contact | EKEI JOSO TANIFUM Owner/Medical Director 912-445-5520 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2019-01-21 |
Last Update Date | 2019-04-25 |