| NPI | 1679637789 |
|---|---|
| Doing Business As | CROSSROADS INTERNAL MEDICINE #3 |
| Entity Type | Organization |
| Authorized Contact | DEBBIE T BREWER Director Of Provider Enrollment 615-465-7626 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-10-30 |