| NPI | 1205387024 |
|---|---|
| Doing Business As | TWIN RIVERS MEDICAL GROUP-IM |
| Entity Type | Organization |
| Authorized Contact | PAULA M LALOR Director/Delegated Official 615-925-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MO 5147) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2017-10-09 |