| NPI | 1497439509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL LEE HAUPT Director Of Operations 931-494-7057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |