NPI | 1518141761 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN REBOK VP 615-372-5004 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
261Q00000X Clinic/Center | |
Enumeration Date | 2007-12-24 |
Last Update Date | 2023-01-02 |