| NPI | 1235447046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY LEE SPEARS President 606-928-5720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2017-01-23 |