NPI | 1982972857 |
---|---|
Doing Business As | LINCOLN TREE MEDICAL CLINIC OF TULLAHOMA, PLLC |
Entity Type | Organization |
Authorized Contact | JAMES EDWARDS ROTH President 931-723-7950 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
111N00000X Chiropractor | |
Enumeration Date | 2011-12-07 |
Last Update Date | 2012-10-31 |