NPI | 1114273794 |
---|---|
Entity Type | Organization |
Authorized Contact | DILLON POSS Practice Administrator 615-427-4220 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 208000000X Pediatrics |
363L00000X Nurse Practitioner | |
Enumeration Date | 2012-08-01 |
Last Update Date | 2012-08-01 |