| NPI | 1982989091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON REBECCA ATCHISON Nurse Practitioner/Owner 731-836-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2022-07-21 |