| NPI | 1871255430 |
|---|---|
| Doing Business As | CDS#10 CLINICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | JANE ELLEN LACEFIELD Authorized Official 270-781-5661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-10-12 |