| NPI | 1093083289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK M STANLEY Chief Operating Officer 615-523-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |