| NPI | 1215126644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THOMAS CLARDY President/Physcian 931-503-0182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TN MD0000030062) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: TN MD0000030062) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2008-01-21 |