| NPI | 1154654440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY DAVIDSON Owner 615-865-3994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 13671) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2018-05-16 |