| NPI | 1104964576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ANDREW JORDAN Physician 615-453-1252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2025-03-16 |