NPI | 1255504700 |
---|---|
Entity Type | Organization |
Authorized Contact | RODNEY TRAVIS SMITH CEO 606-627-3895 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
363L00000X Nurse Practitioner | |
Enumeration Date | 2008-04-04 |
Last Update Date | 2024-08-02 |