NPI | 1285903567 |
---|---|
Entity Type | Organization |
Authorized Contact | LEE ANN FREEMAN Pediatrician 615-373-3337 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TN 16962) |
Additional Taxonomies | 174400000X Specialist (Licence: TN 31436) |
174400000X Specialist (Licence: TN 33870) | |
Enumeration Date | 2011-12-15 |
Last Update Date | 2011-12-15 |