| NPI | 1184938771 |
|---|---|
| Doing Business As | WALNUT GROVE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY G EVANS CFO 276-619-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2010-08-06 |