| NPI | 1073591202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN REBOK Vice President 615-372-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2018-06-21 |