| NPI | 1629406780 |
|---|---|
| Other Name | APPALACHIAN NURSE PRACTITIONER CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIM HUDSON-GALLOGLY Project Director 706-864-1934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 169909) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: GA 113863) |
| 261QP2300X Clinic/Center, Primary Care (Licence: GA 053488) | |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2013-10-28 |