NPI | 1508107376 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK DAVID HUGHES Owner/Provider 615-517-6838 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
363LP0200X Nurse Practitioner, Pediatrics | |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
208M00000X Hospitalist | |
Enumeration Date | 2013-03-04 |
Last Update Date | 2020-01-13 |