| NPI | 1841374428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY GOODMAN Office Manager 270-885-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: KY 02496) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-05-08 |