| NPI | 1750439212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TIMOTHY GARNER Owner 606-324-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 33507) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008408) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2014-03-26 |