| NPI | 1770951477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE FEATHERSTON Owner 904-206-9354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME121369) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |