| NPI | 1427357532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI KIMBROUGH Om 615-499-3292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000008034) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |