| NPI | 1588384671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUTUMN BAILEY Director Of PFS And Managed Care 270-887-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RX0202X Internal Medicine, Medical Oncology | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208600000X Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2024-11-13 |