| NPI | 1962955864 |
|---|---|
| Doing Business As | STONE CREEK FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JEREMY K MCWILLIAMS Owner/Provider 936-582-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2019-09-05 |