| NPI | 1306501119 |
|---|---|
| Doing Business As | ST. BERNARD CLINIC |
| Entity Type | Organization |
| Authorized Contact | TARA DENISE SCOTT Implementation Manager 423-602-9530 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1800X |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2023-08-17 |