| NPI | 1871830810 |
|---|---|
| Doing Business As | MEDICAL CLINIC AT PEACH - NORTH |
| Entity Type | Organization |
| Authorized Contact | MATTHEW RICHARDSON Chief Financial Officer 805-739-3108 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2019-03-19 |