| NPI | 1992178552 |
|---|---|
| Doing Business As | MCH MONROEVILLE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KATHY S JOHNSON PFS Manager 251-743-7485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2018-07-10 |