| NPI | 1518351337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY W BURBANK Owner 615-340-4460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2016-10-11 |