| NPI | 1386382273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK KEITH JOHNSON CEO 615-785-9303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-05-22 |
| Last Update Date | 2023-11-30 |