| NPI | 1093983686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MARK RUFF Owner 615-776-1383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN 37562) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-04-20 |