| NPI | 1659907327 |
|---|---|
| Doing Business As | MRFM COLONIAL HTS - WEEKEND CLINIC |
| Entity Type | Organization |
| Authorized Contact | WANDA TRENT Corporate Secretary 423-230-2109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |