| NPI | 1821316290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN K GARNER Owner 270-789-1022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2021-06-17 |