| NPI | 1417384033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LEHAN BOYLAN Owner 615-589-8652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 8652) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |