| NPI | 1306522792 |
|---|---|
| Doing Business As | DYNAMIC MED |
| Entity Type | Organization |
| Authorized Contact | SHAWNTEL MARIE PRICE Owner 870-299-0490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2024-03-13 |