NPI | 1871587881 |
---|---|
Doing Business As | CROSSROADS INTERNAL MEDICINE #2 |
Entity Type | Organization |
Authorized Contact | DEBBIE T BREWER Director Of Provider Enrollment 615-465-7626 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2005-09-06 |
Last Update Date | 2007-09-18 |