| NPI | 1144548579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LANIER JOHNSON Owner 615-506-0536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: TN MD 20344) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2010-05-10 |