| NPI | 1679534879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE STONE Owner 931-766-7056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 10841) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2023-07-27 |