| NPI | 1710541669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BERRYHILL CEO 256-667-3708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2020-08-05 |