| NPI | 1003339367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIATTA KEBEE HAMPTON Director 615-300-3191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 16222) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |