NPI | 1558026880 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA LUCAS Chief Administrative Officer 615-419-9047 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
207QG0300X Family Medicine, Geriatric Medicine | |
Enumeration Date | 2021-11-02 |
Last Update Date | 2023-04-05 |