| NPI | 1922275395 |
|---|---|
| Doing Business As | MOUNTAIN MEDICAL ASSOCIATES OF LONDON |
| Entity Type | Organization |
| Authorized Contact | BENNY NOLEN Vice President 606-598-5104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2021-01-13 |