| NPI | 1073705745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD JOSEPH BOATRIGHT Medical Director 615-828-0334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 16522) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: TN 16522) |
| 225100000X Physical Therapist (Licence: TN 1864) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2008-04-20 |