NPI | 1881904365 |
---|---|
Entity Type | Organization |
Authorized Contact | LEE ANN ODOM President Shared Services 947-522-3326 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2010-10-18 |
Last Update Date | 2021-10-07 |