| NPI | 1699950493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E TOWNSEND President 386-672-3219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME00611433) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2008-09-16 |