| NPI | 1629536206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOIN N HANA Owner 606-349-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| 101Y00000X Counselor | |
| 104100000X Social Worker | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 208000000X Pediatrics | |
| 225X00000X Occupational Therapist | |
| 235500000X Specialist/Technologist | |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2021-12-30 |