| NPI | 1902400880 |
|---|---|
| Doing Business As | VILLAGE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | KRISTI I LEE Senior Director 706-513-4897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2023-08-22 |