| NPI | 1104413129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HARLAN Director 615-577-6340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2020-12-23 |