| NPI | 1336190214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK SWIFT CFO 931-381-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2009-06-10 |