| NPI | 1053519678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN RICHARD SULLIVAN President 615-302-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN 38819) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-07-31 |