| NPI | 1144361619 |
|---|---|
| Former Legal Business Name | OBSTETRICS & GYNECOLOGY CONSULTAMTS, P.C. |
| Entity Type | Organization |
| Authorized Contact | CANDY BACON Practice Administrator 865-769-4412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2021-12-02 |