| NPI | 1528257532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ALEXANDER TSAMBASSIS Physician/President 931-906-9473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TN MD-019687) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2010-12-01 |