| NPI | 1346592045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDY BLANK CFO 615-988-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 207Q00000X Family Medicine | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2022-12-02 |