| NPI | 1083916563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADONNA MARIE LEDFORD Nurse Practitioner 931-563-7464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 8441) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2013-08-01 |