NPI | 1578646006 |
---|---|
Entity Type | Organization |
Authorized Contact | KAE EDINGTON Director, Provider Support Services 615-936-0471 |
Organization Subpart ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology |
Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology |
207RP1001X Internal Medicine, Pulmonary Disease | |
207Y00000X Otolaryngology | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-10-20 |
Last Update Date | 2020-08-22 |