| NPI | 1447708805 |
|---|---|
| Doing Business As | JENNIE STUART MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ERIC LEE CEO/President 270-887-0100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2021-09-30 |