| NPI | 1568443422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELA C JOHNSON President 606-432-2172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2014-04-30 |