| NPI | 1306437082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID THIMONS Owner 878-201-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2022-04-12 |