| NPI | 1497181267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANSOOR MAHMOOD Owner 606-371-0378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: KY 31447) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |