| NPI | 1669171625 |
|---|---|
| Doing Business As | HENNESSAY MEDICAL DIRECT PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | MEGAN HENNESSAY President 424-235-5235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-03-21 |