| NPI | 1265976096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK SHAROD POTTER Director Of Business 615-499-4659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: TN I000000019286) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |