| NPI | 1780824763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA GOOD A RN P/Owner 606-546-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2010-08-19 |