| NPI | 1144016064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTIE Y DOUGLAS Payer Relations Mgr 615-514-6876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |