| NPI | 1558751339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIFFANY JANESE PEGGS Member 615-863-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TN 45672) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TN 49998) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2017-02-18 |