| NPI | 1467885384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS JAY STOGNER Owner 615-294-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 17056) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |