| NPI | 1033135900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KEITH STUBBS Office Manager 931-456-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 41045) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |