| NPI | 1750375770 |
|---|---|
| Doing Business As | CROSSROADS FAMILY MEDICINE OF BENTON |
| 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 | 2007-09-19 |