Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1295500478 |
| LBN Legal business name | CAPITAL CITY HEALTH PLLC |
| Authorized official | JESSICA AHLERS - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/17/2023 |
| Last updated | 11/20/2023 - About 3 years ago |
| Identifiers | n/a |
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CAPITAL CITY HEALTH PLLC
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