| NPI | 1770877987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUTUMN MARIE STARNES Physician Owner 276-365-8071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA S355332-0) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2025-11-27 |