| NPI | 1730751181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA M CARTER Nurse Practitioner 614-949-9412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2022-01-05 |