NPI | 1265834048 |
---|---|
Entity Type | Organization |
Authorized Contact | TERENCE RHONE President/Owner 888-291-1358 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: TN MD0000044393) |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2014-09-23 |
Last Update Date | 2018-08-30 |