NPI | 1679197529 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDY MEADOWS Member, Nurse Practitioner 606-433-0404 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2020-06-05 |
Last Update Date | 2020-06-05 |