| NPI | 1104325869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH READ LAROCHE Owner 615-904-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TN 15608) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |