| NPI | 1124430020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE WYNN Interim CEO 478-289-1376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208600000X Surgery | |
| 208M00000X Hospitalist | |
| 282NR1301X General Acute Care Hospital, Rural | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2021-09-13 |