| NPI | 1003651563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOLA GABRIEL Owner/CEO 615-569-4067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QE0002X Clinic/Center Emergency Care | |
| 261QP2300X Clinic/Center Primary Care | |
| 363AM0700X Physician Assistant Medical | |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-06-27 |