| NPI | 1942690250 |
|---|---|
| Doing Business As | ONE HEALTH FAMILY MEDICINE MAYFAIR |
| Entity Type | Organization |
| Authorized Contact | JOHN T HACKBARTH Secretary 270-417-4813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-04-20 |