| NPI | 1912441965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT LEWIS Owner 606-802-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: KY 03390) |
| Enumeration Date | 2016-12-10 |
| Last Update Date | 2016-12-10 |