| NPI | 1952642290 |
|---|---|
| Doing Business As | MEMORIAL URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | ROBIN J. MADDOX Provider Enrollment Coordinator 912-350-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 208D00000X General Practice | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |