| NPI | 1295317154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARLYCE ROBINSON Owner 229-319-8267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-05-10 |