| NPI | 1417624586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANSOOR MAHMOOD Owner 606-371-0378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2023-04-13 |