NPI | 1447764857 |
---|---|
Entity Type | Organization |
Authorized Contact | LEE GOLDEN President 615-278-3189 |
Organization Subpart ? | No |
Primary Taxonomy | 261QI0500X Clinic/Center Infusion Therapy |
Additional Taxonomies | 207Q00000X Family Medicine |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2017-11-21 |
Last Update Date | 2025-07-17 |