NPI | 1972286003 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK B STRICKLAND President 888-478-8432 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207R00000X Internal Medicine |
133V00000X Dietitian, Registered | |
207Q00000X Family Medicine | |
363LF0000X Nurse Practitioner, Family | |
363L00000X Nurse Practitioner | |
363A00000X Physician Assistant | |
Enumeration Date | 2023-08-07 |
Last Update Date | 2025-09-12 |