| NPI | 1730185307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE NATHANIEL METCHICK President 386-427-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2024-04-24 |