| NPI | 1104559806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN REEL Controller 615-864-8709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2022-12-02 |