| NPI | 1588420814 |
|---|---|
| Doing Business As | NORTHSIDE MEDICAL PROFESSIONALS PULASKI |
| Entity Type | Organization |
| Authorized Contact | CARRIE LYNN STEWART Billing Supervisor 931-797-0425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |