| NPI | 1053192401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA J FEY Sr Director Physician Practice 615-221-3641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |