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A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adolescent Medicine |
207QA0000X | 08 | Physician/Family Practice |
| NPI # | 1194829218 |
| LBN Legal business name | BURNT CHURCH PRIMARY AND URGENT CARE, LLC |
| Authorized official | WESLEY JAMES - (REGIONAL CFO, TENET) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/11/2006 |
| Last updated | 06/23/2016 - About 10 years ago |
| Identifiers | n/a |
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BURNT CHURCH PRIMARY AND URGENT CARE, LLC