| NPI | 1376546903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE BREWER Director Of Provider Enrollment 615-465-7626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2007-11-29 |