NPI | 1841695533 |
---|---|
Entity Type | Organization |
Authorized Contact | JILLIAN THOMAS Billing Manager 904-260-4461 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME36669) |
Enumeration Date | 2014-10-24 |
Last Update Date | 2014-10-24 |