| 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 |