| NPI | 1265674592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIRK WALES President 615-236-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD038974E) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2019-12-03 |