| NPI | 1699468678 |
|---|---|
| Doing Business As | DEVOE SMITH FREE HEALTHCARE CLINIC |
| Doing Business As | DEVOE SMITH FREE HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | SONJA JEANNE BOLLING Board Member/ Provider 209-352-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-05-26 |