NPI | 1578600367 |
---|---|
Entity Type | Organization |
Authorized Contact | DALE EDWARD RUTLEDGE Physician VP 606-678-0705 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
Enumeration Date | 2007-01-31 |
Last Update Date | 2012-04-24 |