NPI | 1780193920 |
---|---|
Doing Business As | CHERRY HILL CLINIC |
Entity Type | Organization |
Authorized Contact | ELLEN DUKATE Credentialing Specialist 904-515-2625 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2017-09-20 |
Last Update Date | 2017-09-20 |