NPI | 1487303145 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA LUCAS Chief Administrative Officer 615-419-0947 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine |
207RG0300X Internal Medicine Geriatric Medicine | |
Enumeration Date | 2022-03-21 |
Last Update Date | 2023-04-05 |