| NPI | 1144504895 |
|---|---|
| Doing Business As | THE MEDICAL CENTER WEIGHT LOSS PROGRAM |
| Entity Type | Organization |
| Authorized Contact | RONALD G. SOWELL Executive Vice President 270-745-1536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2018-09-28 |