| NPI | 1396960233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BURGER Network Administrator 270-782-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 261Q00000X Clinic/Center | |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2015-01-21 |