| NPI | 1386849040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE LEE COPELAND Owner 931-243-3860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2008-01-30 |