| NPI | 1780431130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LONG Physician Assistant Certified/Owner 615-780-8445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2025-07-14 |