| NPI | 1023604154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA YANCEY Executive Director 202-722-0122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246YC3302X Spec/Tech, Health Info, Coding Specialist, Physician Office Based |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2020-12-13 |
| Last Update Date | 2020-12-13 |