| NPI | 1306419486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC JENKINS Treasurer 615-669-0862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-07-19 |