| NPI | 1669568499 |
|---|---|
| Doing Business As | SHANDS LIVE OAK MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PAULA LALOR Director/Delegated Official 615-925-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: FL 4314) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-02-23 |