| NPI | 1083165328 |
|---|---|
| Doing Business As | MEDICAL CENTER PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | RONALD G. SOWELL Executive Vice President 270-745-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |