| NPI | 1720215767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W JONES Owner/Physician 370-314-4394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 017076) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2014-12-30 |