NPI | 1639206212 |
---|---|
Doing Business As | TRINITY MEDICAL ASSOC PC |
Doing Business As | TRINITY MEDICAL ASSOCIATES, PC NON-PHARMACY DISPENSING SITE |
Entity Type | Organization |
Authorized Contact | ZANDRA M MILLS Credentialing Coordinator 865-500-2144 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: TN 20447) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2021-01-19 |