NPI | 1669466686 |
---|---|
Doing Business As | CROSSROADS FAMILY MEDICINE OF MT VERNON |
Entity Type | Organization |
Authorized Contact | DEBBIE BREWER Director Of Provider Enrollment 615-465-7626 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
Enumeration Date | 2005-09-06 |
Last Update Date | 2011-08-10 |