NPI | 1023216249 |
---|---|
Entity Type | Organization |
Authorized Contact | MARC ROBERT WATKINS Chief Medical Officer 615-425-4200 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ OTC 4233) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ OTC 4233) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2025-05-09 |