| NPI | 1477842045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWANNA STEWART Office Manager 615-459-3244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: TN 34231) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |