| NPI | 1679191282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNA LEE BELLAMY Family Nurse Practitioner/Owner 346-385-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-21 |