| NPI | 1821769845 |
|---|---|
| Other Name | SHMG PRIMARY CARE AT MAGNOLIA |
| Entity Type | Organization |
| Authorized Contact | JEAN VALLIER Director 850-804-3240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |