| NPI | 1164510160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER J SMIRNOFF Owner 931-766-3139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 36126) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |