| NPI | 1437624954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN DINKINS Owner 615-441-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2021-02-23 |