| NPI | 1194258855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SKELTON Manager 615-771-8552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2019-11-24 |