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] |
| NPI Number | 1639399009 |
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| LBN Legal business name | SAGE MEDICAL CLINIC PC | ||||
| Authorized official | SHERI HOWELL - (MEDICAL DOCTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/26/2007 | ||||
| Last updated | 01/07/2010 - About 16 years ago | ||||
| Identifiers |
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