| NPI | 1073795258 |
|---|---|
| Former Legal Business Name | ST. MARK'S MILLCREEK PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | LOUIS JOSEPH VP 615-373-7630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2023-01-02 |