| NPI | 1659932655 |
|---|---|
| Former Legal Business Name | INNER BALANCE FAMILY MEDICINE, PA |
| Entity Type | Organization |
| Authorized Contact | DIONNE LAYNE HINDS Owner 772-249-0636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-07-11 |