| NPI | 1821645896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA RENEE SHEPHERD HATFIELD Co Owner 606-226-8677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2024-11-14 |