| NPI | 1154666451 |
|---|---|
| Doing Business As | SHOTS, ETC. |
| Entity Type | Organization |
| Authorized Contact | KAYE J IVANOFF Secretary 615-525-7618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |