NPI | 1376937797 |
---|---|
Doing Business As | TENNESSEE CONVENIENCE CARE |
Entity Type | Organization |
Authorized Contact | LORA F ELKINS CEO 931-526-1050 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 18488) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 17011) |
363L00000X Nurse Practitioner (Licence: TN 13278) | |
Enumeration Date | 2015-03-24 |
Last Update Date | 2015-03-24 |