| NPI | 1346535853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY PHILLIP JOHNSON Medical Director 615-443-1744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: TN 02209) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |