NPI | 1851484778 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN MICHAEL WATTS Vice President 606-528-2124 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2015-11-03 |