| NPI | 1124332697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWELL GARRETT ADAMS President 502-895-8847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TN MD0000015473) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |