| NPI | 1164317640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HICKS Controller 615-988-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| 261QU0200X Clinic/Center Urgent Care | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |