| NPI | 1770255127 |
|---|---|
| Other Name | VILLAGE MEDICAL - HIAWASSEE |
| Entity Type | Organization |
| Authorized Contact | KRISTI I LEE Director 904-844-2271 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2021-10-04 |