| NPI | 1649688417 |
|---|---|
| Doing Business As | COALFIELD MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | TROYAL CRAIG Owner/Np 865-314-0092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2022-08-31 |