| NPI | 1336500560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COETTA LYNN NEECE Nurse Practitioner/Owner 276-597-6326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |