| NPI | 1427718154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY LINEBERRY CEO 276-266-3149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2021-12-21 |