| NPI | 1710124649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA MIKICKI President 931-358-4146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TN 26924) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: KY 30631) |
| 171100000X Acupuncturist (Licence: TN 26924) | |
| 208D00000X General Practice (Licence: KY 30631) | |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |