| NPI | 1508117334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW W JENKINS Sole Member 270-744-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2023-08-08 |