NPI | 1902143910 |
---|---|
Doing Business As | CROSSROADS FAMILY MEDICINE OF BENTON |
Entity Type | Organization |
Authorized Contact | JAMES WRIGHT Sr Director 615-465-7587 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2013-01-10 |
Last Update Date | 2015-03-12 |