| NPI | 1568621878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANCEY R HOLMES Owner 606-375-3121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2016-06-24 |