| NPI | 1700526944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MCCOY Owner/Nurse Practitioner 234-718-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-03-29 |