| NPI | 1154153518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LUCAS Chief Administrative Officer 615-314-8033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-08-15 |