NPI | 1417170341 |
---|---|
Entity Type | Organization |
Authorized Contact | FLOYD ANTHONY RICHARD President 615-321-3605 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TN md0000017418) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-08-22 |