| NPI | 1174773428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HUDSON DUNNEBACKE P LLC Member 731-668-9031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TN MD011299) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-25 |