| NPI | 1114117298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENESHA L MOYE Director Of Services/Owner 615-485-9536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TN 01045184A) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-11-14 |