NPI | 1992180772 |
---|---|
Doing Business As | MED CENTER HEALTH PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | MICHELE LAWLESS Executive Vice President 270-745-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207QS0010X Family Medicine, Sports Medicine | |
208000000X Pediatrics | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2015-07-22 |
Last Update Date | 2025-02-10 |