| NPI | 1477870525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTY STUMB Nurse Practitioner 615-489-7256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 14465) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-04-29 |