| NPI | 1104187624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD J. BOATRIGHT Physician 615-865-8269 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 16522) |
| Additional Taxonomies | 208VP0000X (Licence: TN 16522) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |