| NPI | 1326009044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD H LLOYD President/CEO 606-783-6502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 1223G0001X Dentist General Practice | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2023-08-17 |