| NPI | 1336406438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIRK O WALES CEO/Owner 615-564-3511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2015-09-02 |