NPI | 1306937289 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBIE BREWER Director Of Provider Enrollment 615-465-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
2084N0400X Psychiatry & Neurology, Neurology | |
Enumeration Date | 2006-09-27 |
Last Update Date | 2007-09-05 |