| NPI | 1043285729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE K BERMAN Physician/Owner 931-707-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: TN 3899812) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2011-04-25 |