| NPI | 1083909204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOYD DON DAVIS Owner 931-967-6669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2023-08-01 |