NPI | 1841930484 |
---|---|
Doing Business As | DC AT WORK MT. PLEASANT |
Entity Type | Organization |
Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2022-03-31 |
Last Update Date | 2022-03-31 |