| NPI | 1083658595 |
|---|---|
| Doing Business As | CHESTNUT MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH S MCNULTY President 691-849-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-06-02 |