| NPI | 1114367851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLTON DAVIDSON Business Manager Owner 615-712-9809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN md0000037790) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |