| NPI | 1104315373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY WILLIAM SASSER Co Owner/Partner 931-206-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 54921) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |