| NPI | 1275856247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN D SPADY Owner 606-598-8813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2013-10-24 |