| NPI | 1093760902 |
|---|---|
| Doing Business As | INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES OF BRISTOL PC |
| Entity Type | Organization |
| Authorized Contact | VICKI L MOODY Practice Administrator 423-844-6704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2021-09-24 |