| NPI | 1578245544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MCKENZIE BRIGHT Owner 385-501-6052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 163WW0000X Registered Nurse, Wound Care | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2025-06-03 |