NPI | 1811020407 |
---|---|
Doing Business As | EFFINGHAM FAMILY MEDICINE AT GOSHEN |
Entity Type | Organization |
Authorized Contact | FRANCINE BAKER-WITT Interim CEO 912-754-0142 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: GA RN057176NP) |
261Q00000X Clinic/Center | |
Enumeration Date | 2007-03-13 |
Last Update Date | 2016-11-29 |