NPI | 1891806899 |
---|---|
Doing Business As | THE HEART GROUP |
Entity Type | Organization |
Authorized Contact | JAMES S. GWINN President 270-415-0361 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2011-08-03 |