| NPI | 1063454650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN NOLAN Vice President 606-878-3240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 367A00000X Advanced Practice Midwife | |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2019-02-26 |