| NPI | 1942065677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA NICOLE MCCULLUM MEJIA Physician, Sole Owner 502-693-5269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |