| NPI | 1093086399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C SWAN Owner 615-515-9180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN MD0000029235) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |