| NPI | 1578004453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIE E. HAGE-KORBAN President 731-512-0104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000022418) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |