| NPI | 1871363564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH TYMES RHODES Owner 229-410-9174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2025-01-14 |