| NPI | 1104134279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M SPROUSE President 615-826-3142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TN 16926) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |