| NPI | 1730664566 |
|---|---|
| Doing Business As | MERCYONE CHEROKEE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARIAH A BALLANTYNE Manager/Provider Enrollment 641-428-3086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2020-02-20 |