| NPI | 1508379322 |
|---|---|
| Doing Business As | BETHEL SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KRISTY MICHELLE DUNN Authorized Official 731-352-6428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 24365) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2021-12-17 |