NPI | 1679837249 |
---|---|
Doing Business As | SERC - HARRISONVILLE |
Entity Type | Organization |
Authorized Contact | KEVIN JOHANNESON VP Revenue Cycle Operations 423-238-7217 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
261QX0100X Clinic/Center, Occupational Medicine | |
Enumeration Date | 2012-06-28 |
Last Update Date | 2015-02-12 |