| NPI | 1194399436 |
|---|---|
| Doing Business As | STAYWELL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHELE LAWLESS Exec. Vice President / CFO 270-796-5591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2021-11-03 |