| NPI | 1376746768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA COSBY Office Manager 615-849-8861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN md8673) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2012-11-14 |