| NPI | 1780652206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HARDIMON CEO 810-342-1064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2017-05-16 |