NPI | 1831728799 |
---|---|
Doing Business As | FIVE HORIZONS HEALTH SERVICES - STARKVILLE |
Entity Type | Organization |
Authorized Contact | MICHELLE HAWTHORNE Credentialing Coordinator 205-292-2428 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
363L00000X Nurse Practitioner | |
Enumeration Date | 2020-04-03 |
Last Update Date | 2022-12-02 |