| NPI | 1982955712 |
|---|---|
| Doing Business As | CROSSROADS FAMILY MEDICINE OF BENTON |
| Entity Type | Organization |
| Authorized Contact | TARA P RICHARDSON Authorized Official 615-221-3672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: IL 0003947) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2019-04-23 |