| NPI | 1487771200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALFREDSON President 931-276-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: TN MD 13280) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TN MD 13280) |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2024-10-28 |