Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry |
| NPI Number | 1497452429 |
| LBN Legal business name | TELEHEALTH PHYSICIAN NETWORK, PC |
| Authorized official | HEATHER GERACIE - (AVP CLINICAL EXCELLENCE) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/09/2023 |
| Last updated | 02/13/2023 - About 3 years ago |
| Identifiers | n/a |
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