| NPI | 1750959318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE GOODMAN HILL Np 931-691-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2021-10-21 |