| NPI | 1235561291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CHRISTOPHER MCDONALD Owner 731-968-9965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD0000023828) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-11-08 |