| NPI | 1982238036 |
|---|---|
| Other Name | ROANOKE COUNTY COVE RD |
| Entity Type | Organization |
| Authorized Contact | TERRY LAYMAN Corporate Medical Officer 317-727-6898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2022-10-24 |