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] | |
Ambulatory Family Planning Facility |
261QA0005X | |||
Family Planning, Non-Surgical |
261QF0050X |
| NPI # | 1720723513 |
| LBN Legal business name | FAITH AND FAMILY MEDICAL PROVIDERS PLLC |
| Authorized official | JACQUELYN BLADDICK - (HUMAN RESOURCES) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/05/2022 |
| Last updated | 07/11/2022 - About 4 years ago |
| Identifiers | n/a |
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FAITH AND FAMILY MEDICAL PROVIDERS PLLC
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