NPI | 1730662750 |
---|---|
Doing Business As | PHYSICIAN CLINIC OFFICE |
Entity Type | Organization |
Authorized Contact | ONAJEFE S NELSON-TWAKOR Medical Director 478-338-9161 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
Enumeration Date | 2018-09-14 |
Last Update Date | 2020-04-06 |