| NPI | 1164828471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY TEAGUE Secretary 615-920-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2019-10-07 |