| NPI | 1154593630 |
|---|---|
| Other Name | BEACON HEALTH OBGYN ASSOCIATES WEP |
| Entity Type | Organization |
| Authorized Contact | SHEILA MANLEY Director Of Operations 423-495-4806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2009-06-02 |