| NPI | 1518904168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE T BREWER Director Of Provider Enrollment 615-465-7626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| 367H00000X Anesthesiologist Assistant | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2010-06-14 |