| NPI | 1538999123 |
|---|---|
| Doing Business As | GRASSROOTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ALEX W WRIGHT CEO 270-933-1803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2025-10-07 |