| NPI | 1407207814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD HOWARD POLK Member/Physician 931-722-3677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN DO127) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |