| NPI | 1164137964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN C. PETROVICH EVP, General Counsel 615-296-3594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-01-17 |