| NPI | 1114616315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ALLEN NAUMANN Owner And Provider 864-597-0159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2024-07-17 |