| NPI | 1851624795 |
|---|---|
| Doing Business As | TRI-LAKES PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | LAURIE HOLTSFORD Authorized Official 615-465-7466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2016-08-31 |