Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1811196066 |
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| LBN Legal business name | FAMILY HEALTH CARE OF CAMDEN, INC | ||||||||
| Authorized official | STEVEN CANNADY - (PRESIDENT/OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/17/2007 | ||||||||
| Last updated | 02/14/2014 - About 12 years ago | ||||||||
| Identifiers |
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