NPI | 1437440054 |
---|---|
Doing Business As | LAKE CUMBERLAND FAMILY CARE |
Entity Type | Organization |
Authorized Contact | KATHY TEAGUE Secretary / Authorized Official 615-920-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2011-04-30 |
Last Update Date | 2019-08-28 |