| NPI | 1902292865 |
|---|---|
| Doing Business As | FAMILY MEDICINE WEST OF WARTBURG |
| Entity Type | Organization |
| Authorized Contact | SANJAY P THANKUR Md/President 423-346-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-07 |