NPI | 1346236361 |
---|---|
Entity Type | Organization |
Authorized Contact | KENDALL ANNE MORRISON Physician/Owner/President 931-484-6061 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TN 37062) |
Enumeration Date | 2005-09-26 |
Last Update Date | 2018-03-17 |