| NPI | 1497170146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSIE OFFICER DYER Physician Assistant 931-526-2488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TN 12727) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: TN 1199) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-05 |