NPI | 1023644838 |
---|---|
Doing Business As | DEACONESS CLINIC - S GREEN RIVER RD |
Entity Type | Organization |
Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2020-03-13 |
Last Update Date | 2020-11-17 |