| NPI | 1063964799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE CATES President 931-528-7312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 1518238484) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2018-08-14 |