| NPI | 1750147377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA LEWIS-HUNT Family Nurse Practitioner 531-220-2843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2025-08-28 |