| NPI | 1841452018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK A PAINTER President 276-632-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101042801) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-07-17 |