| NPI | 1891207460 |
|---|---|
| Doing Business As | CALDWELL MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | MICAH BETH CONGER Director 270-365-0320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 208600000X Surgery | |
| 225100000X Physical Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2021-03-24 |