| NPI | 1336340108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLO STALLWORTH KINNEY Office Manager 615-874-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 012856) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-12-17 |