NPI | 1225300908 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL C SWAN Physician 615-515-9180 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN MD0000029235) |
Enumeration Date | 2012-01-27 |
Last Update Date | 2012-01-27 |