| NPI | 1497162382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J SANDERS Physician 931-644-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 40043) |
| Enumeration Date | 2014-07-13 |
| Last Update Date | 2023-04-28 |