| NPI | 1639411606 |
|---|---|
| Doing Business As | ONE HEALTH GREENVILLE |
| Entity Type | Organization |
| Authorized Contact | JOHN T HACKBARTH Secretary 270-417-4813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2016-02-15 |