NPI | 1437102415 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBIE BREWER Director Of Provider Enrollment 615-465-7626 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
207R00000X Internal Medicine | |
207V00000X Obstetrics & Gynecology | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2006-05-18 |
Last Update Date | 2007-09-11 |