| NPI | 1558534933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SWEET CEO 251-300-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AL 1-080490) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2021-04-15 |