| NPI | 1740042670 |
|---|---|
| Doing Business As | SOUTH COAST FUNCTIONAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LINDA LONG CEO 207-337-0451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 202D00000X Integrative Medicine | |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |