| NPI | 1073013306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HARLAN Director 615-948-9639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2024-06-21 |