| NPI | 1538777024 |
|---|---|
| Doing Business As | PIBCOA |
| Entity Type | Organization |
| Authorized Contact | THOMAS C RUMPH Owner 423-413-8386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |