| NPI | 1912270083 |
|---|---|
| Doing Business As | BAPTIST INTERNAL MEDICINE GROUP AT LEESTOWN ROAD |
| Entity Type | Organization |
| Authorized Contact | WILLIAM SISSON President 859-260-6104 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-02-20 |