| NPI | 1215369905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA B MOORE President 270-926-3700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |