| NPI | 1639346067 |
|---|---|
| Doing Business As | BRYANTSVILLE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | ANN GILES Administrator 859-219-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |