| NPI | 1518180413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ASHMORE Owner 731-584-0174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-11-05 |