Cherry Hill Clinic, LLC

NPI #1780193920 in Columbia, Missouri

Provider Information

NPI Number: 1780193920
Entity Type: Organization
Organization Name: Cherry Hill Clinic, LLC
Primary Specialty: Family Medicine
Enumeration Date: Sep 20, 2017
Last Updated: Sep 20, 2017

Practice Location

Address: 1160 E HIGH POINT LN
City: Columbia
State: Missouri
ZIP Code: 65203-9335
Phone: (352) 226-7603

Authorized Official

Name: ELLEN DUKATE
Title: CREDENTIALING SPECIALIST
Phone: (904) 515-2625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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