| NPI | 1205092640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA WILLIAMS Billing Director 606-478-4287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2010-12-15 |