| NPI | 1366108102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS B MILLER President/Owner 615-868-8612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2021-11-16 |