| NPI | 1518343227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKALYNN F DELAURENTIS Physician 931-444-5494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TN 2144) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2019-06-17 |