| NPI | 1962681502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA GAIL GREGORY Office Manager 270-274-4771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 298623) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |