| NPI | 1669109161 |
|---|---|
| Doing Business As | WILDWOOD MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LEROY H CARHART Medical Director 888-684-3599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2022-08-04 |