| NPI | 1245398791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY G EVANS CFO 276-619-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 207V00000X Obstetrics & Gynecology | |
| 208600000X Surgery | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2022-07-21 |