| NPI | 1265668545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANNETTE RAY Owner 615-746-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 35703) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 43129) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |