| NPI | 1144286717 |
|---|---|
| Doing Business As | CROSSROADS FAMILY MEDICINE OF BENTON #2 |
| Entity Type | Organization |
| Authorized Contact | DEBBIE T BREWER Director Of Provider Enrollment 615-465-7626 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2008-01-02 |