| NPI | 1194849828 |
|---|---|
| Former Legal Business Name | PARKWEST OB-GYN, P.C. |
| Entity Type | Organization |
| Authorized Contact | LISA WILLIS Practice Administrator 865-531-5878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-06-13 |