NPI | 1750906921 |
---|---|
Doing Business As | DMHV1ST INC |
Entity Type | Organization |
Authorized Contact | TISHA DENISE DICKSON-NICKSON CEO 334-303-0657 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-06-12 |
Last Update Date | 2020-06-12 |