| NPI | 1124651435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE CEULE Secretary 615-577-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-05-06 |