| NPI | 1528249752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHARLES GERMAN President 270-651-8325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KY 29922) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |