| NPI | 1447840798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOIN HANA Owner 606-471-2434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2022-01-07 |