NPI | 1316334428 |
---|---|
Entity Type | Organization |
Authorized Contact | COLIN G SMITH Physician 931-644-2061 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 2681) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: TN xs4690043) |
Enumeration Date | 2015-04-16 |
Last Update Date | 2015-04-16 |