| NPI | 1154763134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE SUE LEE Partner 931-879-8794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000015369) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2025-07-10 |