NPI | 1578839031 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY R MEADOWS Vice President 800-507-8874 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2012-03-29 |
Last Update Date | 2015-03-25 |