NPI | 1427259530 |
---|---|
Entity Type | Organization |
Authorized Contact | EMILY JANE STURGILL Practice Manager 276-679-8890 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
Enumeration Date | 2007-05-29 |
Last Update Date | 2020-08-22 |