NPI | 1710058953 |
---|---|
Other Name | KEYS FERRY MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | WILLIAM HARRELL VAN LAAR Owner 770-914-0342 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-11-10 |
Last Update Date | 2007-11-09 |