| NPI | 1184816720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA R HARPER Partner 931-815-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 36250) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 1618) |
| 208000000X Pediatrics (Licence: TN 1768) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: TN APN0000012370) | |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2011-08-25 |