| NPI | 1487870408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON T RICE Physician 606-788-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2019-07-29 |