| NPI | 1255893038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDY BLANK CFO 615-988-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2023-05-05 |