| NPI | 1013749449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE ANN MAUGHMER Certified Family Nurse Practitioner 740-973-0631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2025-02-04 |