NPI | 1083097711 |
---|---|
Doing Business As | FAIRVUE FAMILY WELLNESS |
Entity Type | Organization |
Authorized Contact | CHARLOTTE LAWRENCE 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 | 2024-10-13 |