| NPI | 1376701052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEE JOHNSON Owner/Physician 615-848-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TN MD019450) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |