| NPI | 1568126795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC GOLDSTONE Pc Owner 615-551-6325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2022-06-13 |