| NPI | 1154635407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA EDWARDS President 606-598-8766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 208600000X Surgery |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2025-04-22 |