| NPI | 1083012876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS F. WADLINGTON Executive Director 615-515-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 2677) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2015-01-14 |