NPI | 1477245108 |
---|---|
Other Name | ETHEL, LLC |
Entity Type | Organization |
Authorized Contact | TERESA DENISE PILES-HORTON Family Nurse Practitioner 757-620-2784 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2023-05-22 |
Last Update Date | 2024-05-22 |