NPI | 1013469816 |
---|---|
Doing Business As | TRI-LAKES WOMENS CLINIC |
Entity Type | Organization |
Authorized Contact | MICHAEL SWAW Director Of Provider Enrollment 615-778-8076 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2016-10-27 |
Last Update Date | 2016-10-27 |