| NPI | 1821155839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON M BANKS Director 606-864-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-10-07 |