| NPI | 1356561856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERLYN S DAVIS Biller 615-382-5710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD6465) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 31309) |
| 207X00000X Orthopaedic Surgery (Licence: TN 37667) | |
| 207X00000X Orthopaedic Surgery (Licence: TN 31565) | |
| 207Q00000X Family Medicine (Licence: TN 24985) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-10-28 |