| NPI | 1053018267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT TYSON Director, Managed Care Contracting 615-477-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2026-07-15 |