NPI | 1508876863 |
---|---|
Doing Business As | MARLBORO PRIMARY CARE ASSOCIATES |
Entity Type | Organization |
Authorized Contact | LAURIE HOLTSFORD Authorized Official 615-465-7466 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: SC HTL0677) |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
207RC0200X Internal Medicine, Critical Care Medicine | |
207RP1001X Internal Medicine, Pulmonary Disease | |
363L00000X Nurse Practitioner | |
208000000X Pediatrics | |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2006-08-09 |
Last Update Date | 2014-01-21 |