| NPI | 1144412479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNY J NOLEN CEO 270-827-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2018-11-28 |