| NPI | 1689395246 |
|---|---|
| Doing Business As | MY COUNTRY DOCTOR |
| Entity Type | Organization |
| Authorized Contact | RAYMOND SCOTT FABER President 423-444-6680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-09-12 |