| NPI | 1215085493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN WILLIAM BUTLER Administrator 615-662-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 26897) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2020-08-22 |