| NPI | 1467781997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA MARKS CEO/President 606-408-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2025-06-02 |