| NPI | 1285909671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL C. CLEMMONS President 615-928-6275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
| 207Q00000X Family Medicine | |
| 171W00000X Contractor | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2018-08-16 |