NPI | 1508334129 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL LEWIS MARTIN CEO 423-259-8661 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2018-11-13 |
Last Update Date | 2024-02-02 |