NPI | 1194431502 |
---|---|
Former Legal Business Name | FAMILY CHRISTIAN CARE CENTER |
Entity Type | Organization |
Authorized Contact | JENNIFER D WALKER Owner Physician Assistant 423-599-9347 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2023-01-30 |
Last Update Date | 2023-06-22 |