| NPI | 1942489299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W DICKERSON Owner 606-759-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2009-03-18 |