| NPI | 1194023366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY P. ELEDGE CEO 615-943-5072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 339630) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: TN 339630) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2012-06-05 |