NPI | 1104551704 |
---|---|
Entity Type | Organization |
Authorized Contact | SEASON PENNINGTON Chief Administrative Officer 615-570-2330 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
207R00000X Internal Medicine | |
363A00000X Physician Assistant | |
363LA2200X Nurse Practitioner, Adult Health | |
Enumeration Date | 2022-07-19 |
Last Update Date | 2025-07-28 |