| NPI | 1528255692 |
|---|---|
| Doing Business As | CCMH SURGICAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SHEILA TOMLINSON Director Of Clinical Services 502-732-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2021-09-24 |