| NPI | 1124810536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HARLAN Director Of Credentialing 615-948-9639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-05-21 |