| NPI | 1710606983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY L HOWARD Billing Manager 606-496-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |