| NPI | 1689187080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA CHADWICK Owner 256-490-0361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2020-05-07 |