| NPI | 1376748236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET S GRAHAM Owner 931-207-8897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN12191) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2016-06-07 |