| NPI | 1124430020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE WYNN Interim CEO 478-289-1376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208600000X Surgery |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208M00000X Hospitalist | |
| 261QR1300X Clinic/Center, Rural Health | |
| 273R00000X Psychiatric Unit | |
| 282NR1301X General Acute Care Hospital, Rural | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2025-05-19 |