Organization
WILLOW OAK MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANIE M KENT FNP-C (OWNER)
(912) 713-1124
Entity
Organization
Contact information
Practice address
100 S MAIN ST, CLINTON, IN 47842-2437
(912) 713-1124
Mailing address
PO BOX 467, CLINTON, IN 47842-0467
(912) 713-1124
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
11/01/2023
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