| NPI | 1912434663 |
|---|---|
| Other Name | CMG LOCUMS |
| Entity Type | Organization |
| Authorized Contact | JOSHUA LARKIN Credentialing Coordinator 434-200-5047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |