NPI | 1255505087 |
---|---|
Doing Business As | MARSHALL COUNTY FAMILY MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | CHASITY DOTSON Credentialing Specialists 270-762-1780 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 30462) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3142P) |
Enumeration Date | 2008-04-14 |
Last Update Date | 2021-09-10 |