NPI | 1235659707 |
---|---|
Doing Business As | FRYECARE SPORTS CONCUSSION CLINIC |
Entity Type | Organization |
Authorized Contact | SARA L MILLER Director 615-920-7514 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207P00000X Emergency Medicine |
Enumeration Date | 2017-06-26 |
Last Update Date | 2017-06-26 |