| NPI | 1376722546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY G MYLES Office Manager 615-860-8182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 37235) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2008-10-21 |