| NPI | 1407293954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UZOMA OBUEKWE Medical Director / Owner 276-494-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101244053) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-09-04 |