NPI | 1457566309 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBIE T BREWER Director Of Provider Enrollment 615-465-7626 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2007-05-14 |
Last Update Date | 2009-01-28 |