| NPI | 1205248796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENGLISH PAIGE ROBERTS Owner 423-506-3781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2024-04-08 |