| NPI | 1336154202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF RYDBURG Vice President 615-373-7415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| 363A00000X Physician Assistant | |
| 204E00000X Oral & Maxillofacial Surgery | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2025-10-31 |