NPI | 1710312509 |
---|---|
Entity Type | Organization |
Authorized Contact | EARL DAN BEMBRY Owner 1423-526-0009 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000011921) |
Enumeration Date | 2013-09-11 |
Last Update Date | 2013-09-17 |