| NPI | 1235501891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA PARK COX Nurse Practitioner/Owner 931-629-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |