Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Clinic/Center |
261Q00000X |
| NPI Number | 1033405311 |
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| LBN Legal business name | BAPTIST MEDICAL MANAGEMENT SERVICES INC | ||||||||
| Authorized official | E WHITAKER - (CEO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/24/2011 | ||||||||
| Last updated | 04/24/2013 - About 13 years ago | ||||||||
| Identifiers |
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