NPI | 1194066472 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY ANTHONY MICELI President 615-414-8459 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: TN MD31405) |
Enumeration Date | 2013-03-11 |
Last Update Date | 2013-03-11 |