Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1073285581 |
| LBN Legal business name | MGM-MEDICAL GOALS MANAGEMENT |
| Authorized official | GWENDOLYN SUMTER-DAVIS - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/03/2021 |
| Last updated | 04/17/2022 - About 4 years ago |
| Identifiers | n/a |
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MGM-MEDICAL GOALS MANAGEMENT
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