| NPI | 1558676445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA L STRONG CFO 931-243-3581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2017-11-13 |