| NPI | 1053828905 |
|---|---|
| Doing Business As | MOUNTAIN HOME UROLOGY, P.A. |
| Entity Type | Organization |
| Authorized Contact | JASON TEAGUE LINDSAY President 870-701-0490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2018-01-01 |
| Last Update Date | 2020-06-09 |