NPI | 1174835763 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDY ANNETTE DAWSON Owner 615-553-2218 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN14409) |
Enumeration Date | 2010-07-12 |
Last Update Date | 2011-06-22 |