NPI | 1255220372 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA S YOUNG General Practitioner 478-236-2338 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2025-07-02 |
Last Update Date | 2025-09-11 |