NPI | 1083094460 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY PEREIRA Member, Board Of Managers 615-843-4075 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2015-06-01 |
Last Update Date | 2019-10-21 |