| NPI | 1477925550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HELTOM Medical Director 615-890-4810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 19598) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |