| NPI | 1245435478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALLERIE ANN COFFMAN Office Manager 931-815-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD015823) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2009-12-11 |