NPI | 1235170010 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN L TATE President 615-444-6667 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN MD021696) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2012-11-15 |