| NPI | 1932685138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE CORNELLE BARNES Owner 251-623-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251F00000X Home Infusion |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2024-04-12 |