| NPI | 1417342973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA HAGAMAN Part Owner Medical Doctor 615-746-1471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN 000648758) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |