| NPI | 1801130596 |
|---|---|
| Doing Business As | THE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MEGAN N DANIELS Pa 606-237-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: KY TC164) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |