| 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 |