| NPI | 1205071784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE BREWER Director Provider Enrollment 615-465-7626 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2008-12-11 |