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 |