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 |