| NPI | 1306198502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY R MEADOWS Vice President 800-507-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |