| NPI | 1922282383 |
|---|---|
| Doing Business As | BAPTIST FAMILY MEDICINE AT NORTHSIDE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM SISSON President 859-260-6104 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2008-02-13 |