| NPI | 1023447943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDY L BLANK CFO 615-988-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2023-06-01 |