| NPI | 1821233917 |
|---|---|
| Doing Business As | SOUTHERN COAST FAMILY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | RANDY ROBINSON Administrator 228-865-1453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |