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] | |
Clinic/Center |
261Q00000X | |||
Health Service |
261QH0100X |
| NPI Number | 1871649525 |
| LBN Legal business name | C & C MEDICAL GROUP, INC. |
| Authorized official | CONNIE COUCH - (PRESIDENT/CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/26/2007 |
| Last updated | 11/02/2023 - About 3 years ago |
| Identifiers | n/a |
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