| NPI | 1669963773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY IRENE MORROW Fnp 740-517-0076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH aprn.cnp.13117) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |