NPI | 1700962339 |
---|---|
Former Legal Business Name | HOLLY ROAD MEDICAL ASSOCIATES, PC |
Entity Type | Organization |
Authorized Contact | ROLAND TINDLE CEO 810-695-8011 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101006592) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301048801) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2012-03-01 |