NPI | 1104152859 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY DUNCAN VP 615-372-5135 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2009-10-29 |
Last Update Date | 2019-10-04 |