NPI | 1811510084 |
---|---|
Doing Business As | KINGS DAUGHTERS MEDICAL CENTER FLATWOODS PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | SARA MARKS CEO 606-408-4401 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
363A00000X Physician Assistant | |
Enumeration Date | 2020-05-22 |
Last Update Date | 2023-06-16 |