| NPI | 1033766092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE MORTON Cmo 740-607-4835 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084P0805X |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207Q00000X Family Medicine | |
| 104100000X Social Worker | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2025-09-08 |