| NPI | 1467326413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY L WHITEHEAD Owner 606-770-5161 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2025-10-02 |