NPI | 1699769612 |
---|---|
Doing Business As | CROSSROADS FAMILY ASSOCIATES #2 |
Entity Type | Organization |
Authorized Contact | DEBBIE T BREWER Director Of Provider Enrollment 615-465-7626 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2005-09-06 |
Last Update Date | 2007-09-18 |