| NPI | 1114372224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISSY L SHANK Medical Billing Specialist, Owner 931-837-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |