| NPI | 1790016855 |
|---|---|
| Doing Business As | NEA BAPTIST CLINIC MATTHEWS |
| Entity Type | Organization |
| Authorized Contact | GREGORY M DUCKETT Sr VP/ Clo 901-227-5233 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2020-09-30 |