| NPI | 1306657267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY RICHARDSON Owner 931-325-0757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-01-18 |
| Last Update Date | 2025-02-03 |