| NPI | 1295130755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANFORD HERMAN Supervising Physician 615-491-9571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 19272) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |