Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
207QA0401X | 08 | Physician/Family Practice |
| NPI Number | 1225967524 |
| LBN Legal business name | SENTINEL MEDICAL ASSOCIATES |
| Authorized official | JASON GRAHAM - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/14/2026 |
| Last updated | 05/14/2026 - About 3 weeks ago |
| Identifiers | n/a |
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SENTINEL MEDICAL ASSOCIATES
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