NPI | 1750324521 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES DARRELL KING President 731-645-7932 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2006-06-13 |
Last Update Date | 2009-08-05 |