| NPI | 1356588008 |
|---|---|
| Former Legal Business Name | MOUNTAINSTAR PRIMARY CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | LOUIS JOSEPH VP 615-373-7630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2009-01-17 |
| Last Update Date | 2023-08-29 |