| NPI | 1285612564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH T WOOD Nurse Practitioner 731-279-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TN APN0000006407) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2011-02-02 |