| NPI | 1477866820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE MCINTOSH Medical Director 931-645-5595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: TN 029433) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |