NPI | 1003858879 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTY MUSIC Director/Provider Enrollment 615-465-7377 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
208D00000X General Practice | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-06-13 |
Last Update Date | 2024-03-14 |