| NPI | 1083097711 |
|---|---|
| Doing Business As | FAIRVUE FAMILY WELLNESS |
| Entity Type | Organization |
| Authorized Contact | KATHY TEAGUE Secretary 615-920-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 999999) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2020-12-29 |