| NPI | 1053548487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY C LONG Billing Manager 931-424-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2023-05-10 |