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 |