| NPI | 1033816194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN REBOK Vice President 615-372-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2023-06-14 |