| NPI | 1831458850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAWAR SODA Owner 859-466-8956 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |