| NPI | 1861087066 |
|---|---|
| Doing Business As | OHMG SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | RUSSELL S RANALLO Secretary 270-417-4813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 173000000X Legal Medicine |
| 207QS1201X Family Medicine, Sleep Medicine | |
| 207R00000X Internal Medicine | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2023-05-05 |