| NPI | 1124069893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA ALEXANDER-COOK President 234-312-5873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2017-11-11 |