| NPI | 1336491448 |
|---|---|
| Doing Business As | NORTHEAST REGIONAL MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | BRIAN PEOPLES Vice President 615-465-7585 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RC0200X Internal Medicine Critical Care Medicine | |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-12-04 |