| NPI | 1801457890 |
|---|---|
| Former Legal Business Name | INNER BALANCE FAMILY MEDICINE, PA |
| Entity Type | Organization |
| Authorized Contact | DIONNE LAYNE HINDS Owner 772-249-0636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-06-21 |