| NPI | 1487755740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MICHAEL LITTLEJOHN Physician 270-365-3343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 30506) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2010-11-07 |