| NPI | 1982419677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN CRAVEN Director Of Revenue Cycle 833-696-3349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-09-10 |