NPI | 1790318566 |
---|---|
Doing Business As | VILLAGE MEDICAL |
Entity Type | Organization |
Authorized Contact | KRISTI I LEE Director Revenue Cycle 706-513-4897 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2020-02-19 |
Last Update Date | 2023-08-22 |