A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Physiological Laboratory, (Independent Physiological Lab) |
293D00000X | 47 | Independent Diagnostic Testing Facility (IDTF) |
| NPI Number | 1619346863 |
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| LBN Legal business name | SOUTH CENTRAL CLINICS, INC. | ||||
| Authorized official | JAMES CANIZARO - (CFO/VP OF FINANCE) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 09/17/2015 | ||||
| Last updated | 01/19/2017 - About 9 years ago | ||||
| Identifiers |
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