| NPI | 1316526460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH DICKERSON Billing Manager 615-851-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-04-06 |