NPI | 1730664566 |
---|---|
Doing Business As | MERCYONE CHEROKEE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | MARIAH A BALLANTYNE Manager/Provider Enrollment 641-428-3086 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2018-09-27 |
Last Update Date | 2020-02-20 |