| NPI | 1518309426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN REEL Controller 615-864-8709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2025-07-07 |