| NPI | 1164618229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE SAIN Practice Manager 931-728-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 1634) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2022-04-28 |