| NPI | 1487737912 |
|---|---|
| Doing Business As | VIP MIDSOUTH |
| Entity Type | Organization |
| Authorized Contact | JEFFREY P WHITE President 615-343-3509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2023-08-30 |