| NPI | 1558270702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDYE MARIE CRUM Owner 769-235-2898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2026-09-03 |
| Last Update Date | 2026-10-05 |