| NPI | 1063812659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY FUSTON Billing Manager 615-321-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2024-12-05 |