NPI | 1447470539 |
---|---|
Doing Business As | MOUNTAIN MEDICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | BENNY NOLEN Vice President 606-598-5104 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2007-04-30 |
Last Update Date | 2021-01-13 |