| NPI | 1265712459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE SHOEMAKE Co Owner 931-684-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN APN0000012679) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |