| NPI | 1346859832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA MCCOLLUM Owner 615-790-7992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-11-06 |