| NPI | 1841815826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MORRIS President 386-209-0638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2022-05-17 |