| NPI | 1275782328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN EASTRIDGE Administrator 270-852-1655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KY 40781) |
| Enumeration Date | 2008-09-13 |
| Last Update Date | 2022-05-17 |