| NPI | 1649030917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA RENEE CONNOR Clinic Director 423-321-2528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |