| NPI | 1679012983 |
|---|---|
| Doing Business As | SERC - WALDO, MO |
| Entity Type | Organization |
| Authorized Contact | KEVIN JOHANNESON VP Revenue Cycle Operations 423-238-7217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-21 |