| NPI | 1487656781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAELE PORTACCI Senior Group VP 615-309-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 87063588) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-08-22 |