| NPI | 1861701013 |
|---|---|
| Doing Business As | NEW HANOVER MEDICAL GROUP - JACKSONVILLE |
| Doing Business As | NEW HANOVER MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DANIEL GOODWIN Vice President 910-667-7597 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 2085B0100X Radiology, Body Imaging | |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2021-05-06 |