| NPI | 1104918564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST CLEVENGER President 615-221-5901 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QC1800X Clinic/Center Corporate Health |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2019-09-19 |