| NPI | 1265481006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA L. ARWOOD Director 615-628-6038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 207Y00000X Otolaryngology (Licence: IL 036072445) | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: IL 036078282) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IL 036096365) | |
| 208600000X Surgery | |
| 231H00000X Audiologist (Licence: IL 1740361484) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2013-11-01 |