| NPI | 1659388320 |
|---|---|
| Other Name | MEDICAL SOUTH FAMILY PRACTICE ASSOC INC |
| Entity Type | Organization |
| Authorized Contact | AMY WOOTON President 937-433-0960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2010-05-18 |