| NPI | 1831789015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA BURNETT Nurse P. 931-510-7783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261QF0050X Clinic/Center Family Planning, Non-Surgical |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-01-29 |