| NPI | 1427103092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD ROBERT BURNS President 615-889-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN md5751) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |