NPI | 1881109304 |
---|---|
Doing Business As | MED CENTER HEALTH NEUROLOGY |
Entity Type | Organization |
Authorized Contact | RONALD GENE SOWELL Exec. Vice President 270-745-1510 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2017-12-06 |
Last Update Date | 2021-01-25 |