| NPI | 1184912321 |
|---|---|
| Doing Business As | COUSHATTA FAMILY MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | STUART CLARK Executive VP 615-577-4927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2015-02-10 |